Cosmetic Tattoo

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Let us do this part

Today's Date:

Fri May 10 2024 05:42

Practitioner:*

Tattoo Service Type:*

Tattoo Service Date:*

Photo ID*

Please take photo(s) of your government issued photo IDs and related paperwork.

Please read and answer

Eaten*

Have you eaten in the past 4hrs? It's a good idea to before hand to increase your blood sugar levels.

Payment*

You acknowledge and understand that all tattoo prices are based on actual services performed and may vary from the quote given to you. You acknowledge you are prepared to pay for actual services performed today.

Bloodbourne Pathogens*

Do you have any bloodbourne pathogens, transmittable diseases or recent illnesses? (It's okay if you do, we just want to know for our and other's safety).

Risks*

That I have been fully informed of the inherent risks, associated with getting a tattoo. I fully understand that these risks, known and unknown, can lead to injury, including but not limited to infection, scarring, difficulties in detecting melanoma and allergic reactions to tattoo pigment, latex gloves, and/or soap. Having been informed of the potential risks, I still wish to proceed with the tattoo application and I freely accept and expressly assume any and all risks.
If you have questions please call the studio.

Waive*

TO WAIVE AND RELEASE to the fullest extent permitted by law each of the Artist and Arcane Body Arts from all liability whatsoever, for any and all claims or causes of action that I, my estate, heirs, executors or assigns may have for personal injury or otherwise, including any direct and/or consequential damages, which result or arise from my tattoo, whether caused by the negligence or fault of either the Artist or Arcane Body Arts, or otherwise.

Healing*

The Artist and Arcane Body Arts will give me instructions on the care of my tattoo while it's healing, and I agree that I will follow them. I acknowledge that it is possible that the tattoo can become infected, particularly if I do not follow the instructions given to me. If any touch-up work to the tattoo is needed due to my own negligence, I agree that the work will be done at my own expense.

Influence*

I am not under the influence of alcohol or drugs, and I am voluntarily submitting to be tattooed by the Artist without duress or coercion.

Health*

I affirm that if I have any condition that my Artist needs to be aware of, that I will disclose it prior to receiving my tattoo (i.e.epilepsy or hemophilia). I affirm that if I have any of the following conditions, such as but not limited to, diabetes, epilepsy, hemophilia, a heart condition or am taking blood thinning medication that I am aware of additional risks and will discuss with my Artist any questions I may have prior to receiving my tattoo. And should I have any other medical or skin condition that may interfere with the procedure or healing of the tattoo, I understand there are additional risks. I am not the recipient of an organ or bone marrow transplant or, if I am, I have taken the prescribed preventive regimen of anti-biotics that is required by my doctor in advance of any invasive procedure. I do not have a mental impairment that may affect my judgment in getting the tattoo.

Pregnancy*

I affirm that I am not pregnant or nursing.

Fading*

Variations in colour may exist after the application and healing of the actual tattoo. I also understand that over time, the colors and the clarity of my tattoo will fade due to natural dispersion of pigment under the skin and the nature of the pigments used.

Permanent*

A tattoo is a permanent change to my appearance and can only be removed by laser or surgical means, which can be disfiguring and/or costly and which in all likelihood will not result in the restoration of my skin.

Touch-ups*

I understand that my first touch-up, done within the first three months of receiving the initial service, is included in the price and there will be additional charges for any and all other services. I acknowledge that most clients require at least one touch-up to achieve the desired result from their tattoo.

Photography*

I release all rights to any photographs taken of me and the tattoo and give consent in advance to their reproduction in print or electronic form. If I do not wish for my photo to be taken I will advise my artist.

*Checking this box does not mean we will necessarily take a photo, we will always ask you first*

Legal Action*

I agree to reimburse each of the Artist and Arcane Body Arts for any attorneys' fees and costs incurred in any legal action I bring against either the Artist or Arcane Body Arts and in which either the Artist or Adorned Precision Body Arts is the prevailing party. I agree that the that the courts of British Columbia in Canada shall have personal jurisdiction and venue over me and shall have exclusive jurisdiction for the purpose of litigating any dispute arising out of or related to this agreement.

Extracurricular*

I understand that there are certain activities that are advised against while my tattoo is healing. These include, but are not limited to, swimming (lakes, ocean, hot tub, pools), tanning, exercise that causes excessive sweating or friction to the tattoo site etc.

Questions*

I acknowledge that I have been given adequate opportunity to read and understand this document, that any and all of my questions have been answered, that it was not presented to me at the last minute, and I understand that I am signing a legal contract waiving certain rights to recover against the Artist and Arcane Body Arts.

How did you hear about us?

If you have a preferred name different from your legal name, there is a spot for it!

If you have a preferred pronoun, please feel free to let us know!

If any provision, section, subsection, clause or phrase of this release is found to be unenforceable or invalid, that portion shall be severed from this contract. The remainder of this contract will then be construed as though the unenforceable portion had never been contained in this document.

Client Information

I hereby declare that I am of legal age (with valid proof of age) and am competent to sign this Agreement.

Legal Name:*

Pronoun:

Chosen name:

Address:

Postcode:

Date of birth:*

You must be 18 or older

Phone #:*

Email:*

Signature:*

Sign above or type signature:

Emergency Contact

If something happens, your emergency contact might need to explain your medical history, allergies, or medications.

Name:

Phone #:*