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Phone:  414-962-0696  or

 Toll Free:  800-821-5532 in Wisconsin
Fax:  414-963-0359
Email:cindyg@ losethetattoos.org

If you are interested in Lose the Tattoos , you must be able to check the boxes below, sign your name, and mail, fax, or e-mail the your information to us.  A counselor will call you within the week!

 

Lose the Tattoos pledge

 

I , ________________ hereby agree to say NO to all gang activity.  I have decided to change my life.  I wish to remove all negative tattoos and direct my life in a positive direction.

 

I,  _________________ hereby agree to remove my tattoos and will do  _______ hours of volunteer work to give back to the community for this medical treatment.

 

I, __________________ hereby agree to keep my tattoo removal appointments until the tattoo is gone.

 

I, __________________ hereby agree to care for this treated tattoo with the supplies provided me twice daily for one week after treatment.

 

I, __________________hereby agree to not add other tattoos to my body.

 

Signed,

 

________________________________      Dated ___________________

 

________________________________    _________________________

  Print Name here                                                                         Witness

 

 

I , ________________ hereby agree to say NO to all gang activity.  I have decided to change my life.  I wish to remove all negative tattoos and direct my life in a positive direction.

 

I,  _________________ hereby agree to remove my tattoos and will do  _______ hours of community service to give back to the community for this medical treatment.

 

I, __________________ hereby agree to keep my tattoo removal appointments until the tattoo is gone.

 

I, __________________ hereby agree to care for this treated tattoo with the supplies provided me twice daily for one week after treatment.

 

I, __________________hereby agree to not add other tattoos to my body.

 

I, __________________hereby pledge to bring one friend into this program for tattoo removal.

 

 

Signed,

 

________________________

 

________________________    _________________________

  Print Name here                                                                         Witness

 

Date ____________________

Sign me up!  I want to Lose the Tattoos!