CCTA - Conventional & Cosmetic Tattoo Association

Cosmetic Tattoo Artist Membership Application

This application is for cosmetic tattoo artists. All fields are required.

If you are a conventional tatto artist, please use the Conventional Tattoo Artist form.


Full Name	:
Business, Studio, or Salon Name	:
Address	:
City	:
State	:
Zip Code	:
Country	:
Email Address	:
Telephone Number	:
Fax Number	:
Type of Artist	:
Trainer or Apprenticeship?	:	Trainer Apprenticeship
Trade Nickname	:
Years Tattooing	:
Name of the School you trained with?	:
Is the School you trained with a Licensed School by a State Board of Education?	:	Yes No
Name of Artist or Instructor that trained you?	:
Number of total hours trained as a beginner	:
Total number of Procedures completed upon graduation	:
Date of Graduation	:
Total Advanced training attended	:
Type of Advanced training attended	:
Topical Anesthetics used	:
Are your pigments manufactured in the United States?	:	Yes No
Do you conduct a patch test prior to cosmetic tattoos?	:	Yes No
Do you conduct complete consultations prior to every procedure?	:	Yes No
Do you maintain case files for 5 years with photos?	:	Yes No
Name and Address of your cosmetic tattoo studio	:
Sterilization Method	:
Do you use single use needles?	:	Yes No
CPR Trained?	:	Yes No
Hepatitis Vaccinated?	:	Yes No
Do you use barrier control?	:	Yes No
Type of tattoo machine or hand method handle?	:
Insurance Company	:
Cosmetic precedures per year?	:
Conventional tattoos per year?	:
Personal Awards	:
Other organizations you are a member of in good standing	:
Do you tattoo within local and state laws?	:	Yes No
Do you have the required local business license?	:	Yes No
Do you conduct business at	:	Yes No
Do you tattoo minors?	:	Yes No
Do you agree to assist others with Tattoo problems?	:	Yes No
Will you share your techniques with other members?	:	Yes No
Do you agree to tattoo safely and meet all local and state laws?	:	Yes No
Do you agree to tattoo in a drug free environment and conduct all tattooing in a safe ethical manner?	:	Yes No

After completing all fields of the form, click the "Submit" button below.

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