HEALTH

Please fill out the information below so we can complete your Southern Nevada Health District Body Art Temporary Permit Artist Application. Every artist will need to fill out this form. After the form is submitted a link will generate to pay the fee of $190.
This form must be completed and paid for by 10/04/2024. SNHD will not make any exceptions to this due date.

Government Name *

First

Last

Billing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

months experience to

Email *

Name of your tattoo shop *

Signature (be sure this signature is legible) *

Clear Signature

I have more than 6 months experience as a tattoo artist. *

I affirm.

SNHD Body Art Card # (for local to Las Vegas tattoo artists only)

HEALTH

LOCATION

CONVENTION HOURS

CONNECT