Name *

First Name

Last Name

Phone *

(###)

###

####

Gender *

Kane

Wahine

Position Desired *

Booth Rental

Commissioned Based

Guest Spot

Booth Rental Artist - Do you have liability insurance?

Yes

No (You will be required to obtain this before starting)

Availability *

Full-Time

Part-Time

Guest Artist Please Specify Dates Below

Tattoo styles you specialized in: *

Polynesian

American Traditional

Black & Grey

Realism

Neo-Traditional

Fine Line

Other

Do You Have A Bloodborne Pathogens Certification? *

Yes

No

Are You CPR/First Aid Certifide? *

Yes

No

Have you ever been disciplined or cited by any health department or professional licensing agency? *

No

Yes

Are you willing to adhere to Kanaka Tattoo's Policies regarding health & safety, cultural integrity, and professionalism? *

Yes

No