Apprentice Tattoo Release

Let us do this part

Today's Date:

Wed May 1 2024 11:17

Practitioner:*

Please read and answer

APPRENTICE TATTOO *

I understand that I am getting a tattoo by an apprentice who is still in training. I accept that the tattoo may not be exactly as the original picture. I understand the tattoo may have uneven lines, poor color saturation, or a possible blow out. I accept any and all risks by getting a tattoo by an apprentice in training and do not hold the apprentice or Satori Tattoo Collective responsible for any issues that may arise. A touch up will be included 4 weeks after healing, if needed, at no cost.

NO PERSON MAY BE TATTOOED WHO APPEARS TO BE UNDER THE INFLUENCE OF ALCOHOL OR DRUGS

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.

Eaten*

Have you eaten in the last 4 hours? It is a good idea to eat beforehand to increase sugar levels.

Allergies*

Do you have any allergies we should be aware of?

Details:

Blood borne Pathogens*

Do you have any blood borne pathogens or std's? It is okay if you do we just need to know for our and others safety.

Risks*

I have been informed of the inherent risks and dangers associated with getting a tattoo. I fully understand that these risks, know and unknown, can lead to injury including but not limited to possibility of discomfort or pain, 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.

Waive*

I WAIVE AND RELEASE to the fullest extent permitted by law to each of the Artist and the Studio 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 the Artist or Tattoo Studio or otherwise.

Healing*

The Artist and Tattoo Studio have given me instructions on the care of my tattoo while it is healing and I understand them and 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.

Health*

I do not have diabetes, epilepsy, hemophilia, a heart condition, nor do I take blood thinning medication. I do not have any other condition that may interfere with the application or healing of the tattoo. I am not the recipient of an organ or bone marrow transplant, or, if I am, I have taken the preventative antibiotics. I am not pregnant or nursing. I do not have a mental impairment that may affect my judgment in getting the tattoo.

Inks*

I understand that tattoo inks, dyes, and pigments have not been approved by the Federal Food and Drug Administration (FDA) and that the health consequences of using these products are unknown. I am aware that there is a possibility of an allergic reaction to the pigments or other materials used.

Spelling*

Neither the Artist nor the Tattoo Studio are responsible for the meaning or spelling of the symbol or text that I have provided to them or chosen.

Fading*

Variations in color and 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 the permanence of the markings and that 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.

Legal*

I agree to reimburse each of the Artist and the Tattoo Studio for any attorneys fees and costs incurred in any legal action I bring against either the Artist or Tattoo Studio and in which either the Artist or the Tattoo Studio is the prevailing party.

Questions*

I acknowledge that I have been given adequate opportunity to read and understand this document ad that any and all of my questions have been answered, and I understand that I am signing a legal contract waiving rights to recover against the Artist or Tattoo Studio.

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 you select NO to this please advise the Artist.

Age*

I am Eighteen (18) years of age or older in accordance with Texas State Law with my state or government issued identification card present.

Aftercare*

I have received a copy of applicable written care instructions and I have read and understand such written care instructions.

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:*

Sign above or type signature:

Photo ID*

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

Enter passcode to submit: