Student* I understand that I am receiving a tattoo from a tattoo student participating in a state-licensed training program under the direct, in-person supervision of a licensed tattoo artist who has been approved by the state to oversee and train students. I understand that there are no guarantees regarding the outcome of my tattoo, and that the final result may differ from my expectations.

Medical Conditions * Please make note of any medical or skin conditions that apply:

•Pregnancy: If you are currently pregnant, we will NOT tattoo you. If you have concerns and wish to confirm before receiving a tattoo, free pregnancy tests are available in the shop restrooms.
•Anxiety or Panic Attacks
•Asthma
•Autoimmune Disorder: If applicable, please specify type.
•Bleeding Disorders (including but not limited to Hemophilia): If applicable, please specify. Bleeding disorders may increase the time it takes for the tattoo to heal and may increase your risk of infection.
•Cold Sores
•Communicable Diseases: If applicable, please specify.
•Dermatitis
•Diabetes: Please note, diabetes may increase the time it takes for the tattoo to heal and may increase your risk of infection.
•Epilepsy or Seizure Disorder: If applicable please list frequency and triggers.
•Heart Condition: If applicable, please specify.
•Hepatitis: If applicable, please specify type.
•High Blood Pressure
•History of Dizziness or Fainting
•History of Keloids or Hypertrophic Scarring
•History of Staph/Strep Infections, MRSA or Cellulitis.
•HIV: If applicable, is it detectable?
•Nursing
•Psoriasis or Eczema: If applicable, please list the affected area.
•Other: If applicable, please specify.

Medications* Please note any medications that you are currently taking, including but not limited to insulin, immune suppressants, blood thinners or antibiotics.

Allergies and Sensitivities* Please list any allergies you may have, as well as any sensitivity to medications or topical solutions.

Influence* I am not under the influence of alcohol or drugs and I am voluntarily submitting to be tattooed by the student without any duress or coercion.

Impairment* To my knowledge, I do not have any physical, mental, or medical impairment, condition, or disability that could affect my well-being as a result of receiving tattoo-related work.

Permanence* I understand that a tattoo is a permanent change to my appearance. Removal is only possible through laser or surgical means, which may be disfiguring, costly, and unlikely to restore my skin to its original state.

Color and Pigment* I am aware that my skin tone may affect the pigment and result in color variations. Differences in color or design may exist between the artwork I have selected and the actual tattoo, and I understand that over time, both the colors and clarity of my tattoo may fade due to the natural dispersion of pigment under the skin.

Spelling* I acknowledge that neither the student nor Arcadia Tattoo School is responsible for the meaning or spelling of the symbol or text I have provided or chosen from the flash (design) sheets.

Photographs* I grant Arcadia Tattoo School and the student irrevocable permission to use photographs or videos of my tattoo (with or without my face) for portfolio, educational, advertising, website, and social media use without compensation.

Harassment* I agree to treat the students, staff, and other clients with respect. I understand that harassment, including but not limited to sexual harassment and bigotry, will not be tolerated. If such behavior occurs, the tattoo session will end immediately, and the full remaining balance will be due.

No Refunds* I accept that Arcadia Tattoo School has a no-refund policy on tattoos and deposits. I understand that all services and deposits are non-refundable. Dissatisfaction with artistic interpretation, style, color saturation, placement, or healed results does not constitute negligence and does not entitle me to a refund.

Infections* I understand that a tattoo is an open wound, and as with any open wound, there is a risk of infection. I will not hold Arcadia Tattoo School or the student responsible for any infection or complication that may occur, except in cases of gross negligence. I also recognize that a history of previous skin infections, including but not limited to Staphylococcus, Streptococcus, and Cellulitis, increases the risk of infection in the tattoo.

Cessation * Arcadia Tattoo School and its representatives reserve the right to refuse or discontinue service at any time if, in their sole judgment, it is in the best interest of health, safety, or professional standards.

Risks* I have been fully informed of the inherent risks associated with getting a tattoo. These risks, both known and unknown, can include injury, infection, bloodborne pathogens, allergic reaction, granulomas, scarring, keloid formation, difficulties in detecting melanoma. I understand that allergic reactions cannot be predicted. Despite being informed of these risks, I wish to proceed with the tattoo application and freely accept and expressly assume all risks, releasing Arcadia Tattoo School, its students, instructors, employees, and representatives from liability to the fullest extent permitted by law.

Aftercare* I acknowledge that I have received aftercare instructions on caring for my tattoo during the healing process and understand that proper aftercare is essential to healing. Failure to follow aftercare instructions may result in infection, scarring, ink loss, or poor healing.

Touch Ups* I understand that touch-ups are not guaranteed and are provided at the sole discretion of Arcadia Tattoo School. Touch-ups may not occur sooner than 6 weeks after receiving the tattoo and may require added expense if the tattoo is older than 6 months. Touch-up work that is needed due to my own negligence will be performed at my own expense.

Questions* I affirm that I have been given adequate opportunity to read and understand this document, and that all my questions have been answered. This document was not presented to me at the last minute. I recognize that I am signing a legal contract that waives certain rights to recover against the student and Arcadia Tattoo School.

Emergency* In the event of a medical emergency, I authorize Arcadia Tattoo School to seek emergency medical care on my behalf. I agree to be financially responsible for any such medical services.

Waive and Release * Being of sound mind and body, I hereby release all persons representing Arcadia Tattoo School from any responsibility, both now and in perpetuity. I understand that tattooing is an elective procedure and that I am voluntarily choosing to proceed despite known and unknown risks. I expressly assume all risks, whether foreseeable or unforeseeable. I accept all responsibility for any consequences resulting from my decision to have tattoo-related work done by a representative of Arcadia Tattoo School. I agree, for myself, my heirs, assigns, and legal representatives, to hold harmless Arcadia Tattoo School from all damages, actions, causes of action, claims, judgments, costs of litigation, attorney’s fees, and other costs and expenses which might arise from my decision. I accept responsibility for all damages or injuries to people or property belonging to Arcadia Tattoo School or any other person to whom Arcadia Tattoo School and its representatives may become liable, contractually or by operation of law, caused by or resulting from my decision to have tattoo-related work done. These waivers also apply to and are designed to protect any establishments where Arcadia Tattoo School conducts business. This agreement shall be governed by and construed in accordance with the laws of the State of Oregon. If any provision of this agreement is found to be unenforceable, the remainder shall remain in full force and effect.