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Tattooing
Let us do this part
Today's Date:
Thu May 2 2024 11:21
Practitioner:
*
-- Select --
Josh
Radley
Blair
Benny
Other
Tattoo Location:
*
Please read and answer
ID
*
I confirm I have a suitable Government issued Photo ID such as a drivers license or passport (not a student ID) present and will take a photo of it (or ask staff to assist) at the end of this form.
Payment
*
Do you have suitable form of payment for your tattoo? We accept cash and card.
Y
N
Eaten
*
Have you eaten in the past 4hrs? It's a good idea to before hand to increase your blood sugar levels.
Y
N
Booze
*
Have you had any alcoholic beverages in the last eight (8) hours? Let us know if so and how much.
Y
N
Blood Thinners
*
Have you taken aspirin, ibuprofen or blood thinners in the last twenty four (24) hours? Let us know if so and what
Y
N
Bleeding
*
Are you prone to heavy bleeding? It's okay if you are - we just need to know.
Y
N
Fainting
*
Are you prone to fainting? It's okay if you are - we just need to know.
Y
N
Pregnancy
*
Are you currently pregnant or breastfeeding?
Fading
*
Variations in colour/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 may fade due to natural dispersion of pigment under the skin.
Spelling
*
Neither the Artist nor the Tattoo Studio is responsible for the meaning or spelling of the symbol or text that I have provided to them or chosen from the flash (design) sheets.
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.
Release
*
I hereby give consent to a tattoo and in consideration of doing so, I hereby release the studio, and its employees and agents from all manner of liabilities, claims, actions and demands in law or in equity, which I or my heirs might now or hereafter by reason of complying with my request to be tattooed
Medical
*
I fully understand that any employee or agent of this studio when performing a tattoo does not act in the capacity as a medical professional. The suggestions made by any employee or agent of this studio are just suggestions. They are not to be construed as, or substituted for advice from a medical professional.
Questions
*
I acknowledge both the Artist and the Studio have given me the full opportunity to ask any and all questions about the piercing procedure and the they have been answered to my total satisfaction.
Aftercare
*
I understand my aftercare will both be explained to me verbally and a copy will be emailed to me. I have had the opportunity to ask any questions in regards to aftercare and they were explained to my satisfaction. I understand that a tattoo needs time to heal properly and I am responsible for caring for it appropriately during this time.
Risk
*
I willingly submit to these procedures with a full understanding of possible complications such as, but not limited to, infection or allergic reaction. Having been informed of the potential risks associated with getting a tattoo, I still wish to proceed with the tattoo and I freely accept all risks that may arise from the tattoo.
This Document
*
I have read this Tattoo Consent & Release Form and confirm that all the information I have given is correct. I understand that this is a release form and I agree to be legally bound by it.
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. (You do not have to agree to this box if you don't wish to have your photo taken)
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:
*
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You must be 18 or older
Phone #:
Email:
*
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Signature:
*
Sign above or type signature:
Parent/Legal Guardian
I, as custodial parent or legal guardian of the above minor under -18 years of age, hereby consent to the terms and conditions set forth in this release form and I attest that all documentation I have provided is true and accurate.
Guardian's Legal Name:
*
Signature:
*
Photo ID
*
Please take photo(s) of your government issued photo IDs and related paperwork.
Remove Photo