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CONSENT TO LASER TATTOO REMOVAL

Let us do this part
Today's Date:
Mon May 12 2025 02:31
Practitioner:*
:*
Please read and answer
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I WAIVE AND RELEASE to the fullest extent permitted by law any person of Holey Truth Body Arts LLC from all liability whatsoever, including but not limited to, 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 the procedure and application of my tattoo removal, whether caused by the negligence or fault of either Holey Truth Body Arts LLC, or otherwise. Holey Truth Body Arts LLC has given me the full opportunity to ask any question about the procedure and application of my tattoo removal and all of my questions have been answered to my satisfaction.
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Holey Truth Body Arts LLC has given me instructions on the care of my tattoo removal site while it's healing. I understand and will follow them. I acknowledge that it is possible that the site can become infected, particularly if I do not follow the instructions given to me. If any touch-up work to the tattoo removal is needed due to my own negligence, I agree that the work will be done at my own expense. I am not under the influence of alcohol or drugs, and I am voluntarily submitting to be tattooed by Holey Truth Body Arts LLC without duress or coercion.

I release the right to any photographs taken of me and the tattoo removal site and give consent in advance to their reproduction in print or electronic form. (For assurance, if you do not initial this provision, please inform Holey Truth Body Arts LLC NOT to take any pictures of you and your completed tattoo removal).
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I agree that the Holey Truth Body Arts LLC has a NO REFUND policy on any of it's services, and I will not ask for a refund for any reason whatsoever.
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I agree to reimburse the Holey Truth Body Arts LLC for any attorneys' fees and costs incurred in any legal action I bring against the Holey Truth Body Arts LLC and in which either the Artist of the Holey Truth Body Arts LLC is the prevailing party. I agree that the courts of located in the County of Lebanon within the State of Pennsylvania shall have jurisdiction and venue over me and shall have exclusive jurisdiction for the purposes of litigating any dispute arising out of or related to this agreement.
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I understand that tattoo removal does not produce immediate results, and I may need multiple sessions to remove any or all of my tattoo. Not All colors can be removed, and different ink brands or homemade inks may be permanently embedded into my skin.
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.

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

I HAVE READ THE AGREEMENT, I UNDERSTAND IT, AND I AGREE TO BE BOUND BY IT.
**PLEASE ASK YOUR ARTIST ABOUT THE PRICE OF YOUR REMOVAL BEFORE BEGINNING THE PROCEDURE - it is your responsibility to confirm the price of the removal, and we assume no responsibility for any misunderstanding in this regard.
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:*
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Photo ID*
Please take photo(s) of your government issued photo IDs and related paperwork.