Health Department Forms – Dayton Tattoo Festival

DAYTON HEALTH DEPARTMENT

Only one artist from each “booth” should fill out this form. This form is to permit your entire booth with the city of Dayton. Your booth fee of $75 can cover 1-8 artists. Please list all artists you wish to be included in this “booth” in the information below. The link to pay this fee will appear once the form is submitted.
FORMS ARE DUE NO LATER THAN 8/11/2025.

Dayton Booth Fee $75.00

TATTOO SHOP NAME *

TATTOO SHOP ADDRESS *

Address Line 1

Address Line 2

City

State

Zip Code

TATTOO SHOP PHONE NUMBER *

RESPSONSIBLE PARTY NAME(CONTACT PERSON) *

First

Last

CONTACT PERSON HOME ADDRESS *

Address Line 1

Address Line 2

City

State

Zip Code

CONTACT PERSON PHONE NUMBER *

ARTIST #1 NAME: *

First

Last

ARTIST #2 NAME:

First

Last

ARTIST #3 NAME:

First

Last

ARTIST #4 NAME:

First

Last

ARTIST #5 NAME:

First

Last

ARTIST #6 NAME:

First

Last

ARTIST #7 NAME:

First

Last

ARTIST #8 NAME:

First

Last

Date of signature

Signature *

Clear Signature

File Upload

Click or drag a file to this area to upload.

Upload your local tattoo shop permit. If your location does not permit the tattoo shop, you will be asked to upload individual artist licenses on a separate form.

DAYTON HEALTH DEPARTMENT

LOCATION

CONVENTION HOURS

CONNECT