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Mecca Release

Let us do this part
Today's Date:
Wed Jun 25 2025 03:29
Practitioner:*
Tattoo Location On Body:*
Tattoo Description:*
Please read and answer
Independent Contractor*
I understand that all artists at Mecca Tattoo are independent contractors.
Healing*
I verify that I have been fully instructed about the care and maintenance of this tattoo from its completion throughout the healing phase. I have also been provided with a care and instruction sheet containing the same information. I fully understand that the tattoo artist named above is not a medical professional and that any suggestions made by the tattoo artist are nothing more than suggestions. Such information is not to be construed as, or substituted for, advice from a medical professional. I understand that the care of my tattoo is the principal factor in the successful healing of the tattoo and therefore, I agree to the follow the aftercare procedures outlined in the aftercare sheet provided until the healing is complete. I understand that infections can occur as the result of the lack of proper hygiene. I understand that tattoos usually takes 2 to 4 weeks or longer to heal. I acknowledge that there are no warranties, whether expressed or implied, or either merchantability or fitness for any particular purposed granted by performance of this service.
Risks*
Despite the fact that Mecca Tattoo LLC, uses only the highest quality dermal pigments, I understand that allergic reactions are a possiblity any any time inks/pigments are introduced to the skin. I understand that I may be allergic or sensitive to certain metals and/or other ingredients contained in dermal pigments/inks used by Mecca Tattoo LLC. I also recognize red ink allergies may occur without prior warning or symptoms and said allergies may also develop after the tattoo had fully healed.
Fading*
Variations in color/design may exist between the art I have selected and 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.
Permanent*
I understand that a tattoo is considered permanent and may only be removed with a surgical procedure and that any effective removal may leave scarring.
Spelling*
Neither the Artist nor Mecca Tattoo is responsible for the meaning or spelling of the symbol or text that I have provided to them.
Legal Action*
I hereby release the artist and Mecca Tattoo, LLC from all claims and causes of actions associated with this tattoo which are waived under law and/or equity, which I or my heirs might now or hereafter pursue by reason of complying with my request to be tattooed.
 
Do you have/are you: *Please inform your artist if any apply*
Scarring Diabetic Nursing HIV Fainting Hemophiliac Hepatitis Nausea Pregnant Epileptic Narcoleptic Cognitive Disability
 
Have you Consumed:
Aspirin (last 24hrs) Food (last 2-4hrs) Alcohol (last 8hrs) Recreational Drugs Anticoagulants
 
Allergies: *Please inform your artist if any apply*
Antibiotic Ointment Latex Isopropyl Alcohol Ink: Dye :Color Petroleum Coconut
 
Are you prone to: *Please inform your artist if any apply*
High Blood Pressure Skin Diseases/Lesions Sensitivity to soap or disinfectants Seizures
 
I agree to the following:*
I understand tattoos are permanent. I agree to approve the stencil placement. I agree to ask any questions I may have. I agree to check all spelling myself. I agree to come to an agreement on a price range before we start tattooing. I understand my skin is not perfect which may lead to imperfections in the tattoo.
 
I agree to the following aftercare instructions:*
I will not pick or scratch the tattoo. I will not touch the tattoo with dirty hands. I will not expose the tattoo to dirty environments I will not let my dog/cat/anyone lick the tattoo.
I understand that*
The technician shall not perform a body art procedure if the client fails to complete or sign the disclosure and authorization form.
The technician may decline to perform a body art procedure if the client has any identified health conditions.
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.
Name:*
Address:
Postcode:
Date of birth:*
You must be 18 or older
Phone #:*
Email:
Signature:*


Emergency Contact
If something happens, your emergency contact might need to explain your medical history, allergies, or medications.
Name:
Phone #:*
Photo ID*
Please take photo(s) of your government issued photo IDs and related paperwork.