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TATTOO CONSENT WAIVER

Let us do this part
Today's Date:
Sat May 10 2025 01:04
TATTOO CONSENT WAIVER
Please read and answer
TATTOO CONSENT WAIVER *
PLEASE READ CAREFULLY
By signing this Waiver and Release, I acknowledge and agree to the following terms in consideration of receiving a tattoo from Plug Tattoo and Piercings (including its owners, employees, apprentices, contractors, and agents, hereinafter referred to collectively as "the Tattoo Studio").


WAIVER OF LIABILITY AND RELEASE

I, hereby voluntarily waive, release, and discharge Plug Tattoo and Piercings and its tattoo artists, employees, apprentices, and agents from all liability, claims, demands, or causes of action that I or my heirs, assigns, executors, or administrators may have for personal injury, infection, allergic reaction, scarring, disfigurement, dissatisfaction, or death arising out of or related to the tattooing procedure, whether caused by negligence or otherwise.
This release applies to all claims resulting from services provided by the Tattoo Studio, including but not limited to:
* Infection or improper healing
* Ink allergies or skin reactions
* Unsatisfactory design or placement of the tattoo
* Variations in color, clarity, or appearance of the tattoo over time
* Any consequences from failure to adhere to aftercare instructions
I fully understand that tattooing is a permanent and invasive procedure that may carry health risks, which I accept voluntarily.

CLIENT REPRESENTATIONS AND WARRANTIES

I hereby represent and warrant that:
* I am not under the influence of alcohol or drugs.
* I do not have any medical conditions that could impair healing, including but not limited to:
* Diabetes
* Epilepsy
* Hemophilia
* Heart conditions
* Allergies to metals, pigments, or adhesives
* Immunodeficiency disorders
* Skin conditions (e.g., eczema, psoriasis) at the tattoo site
* I am not currently pregnant or nursing.
* I do not take medications that may interfere with the healing process (e.g., blood thinners, immunosuppressants).
* I am not the recipient of an organ or bone marrow transplant, or if I am, I have consulted my physician and taken all necessary precautions.
I acknowledge that failure to disclose medical conditions may result in serious health risks, for which I release the Tattoo Studio from any liability.


ACKNOWLEDGMENT OF PERMANENCE AND DESIGN RESPONSIBILITY

* I understand that tattoos are permanent and can only be removed by laser or surgical means, which can be expensive, painful, disfiguring, and not guaranteed to restore my skin to its original state.
* I acknowledge that over time, the colors and clarity of my tattoo may fade due to exposure to sunlight, natural aging, and skin changes.
* I accept full responsibility for the design, spelling, and placement of the tattoo. The Tattoo Studio is not responsible for any design-related errors once the tattoo is applied to my skin.

AFTERCARE AND TOUCH-UP POLICY

I acknowledge the following:
* The Tattoo Studio has provided me with detailed aftercare instructions and I agree to follow them diligently.
* Failure to follow proper aftercare may result in infection, scarring, or fading.
* I understand that any touch-up work required due to my negligence will be performed at my expense.
(EACH ARTIST HAS THERE OWN TOUCH UP POLICY PLEASE SPEAK TO THE ARTIST DIRECTLY REGARDING HOW TOUCH UPS WORK.)

INK DISCLOSURE

* I acknowledge that the pigments, inks, and dyes used for tattooing have not been approved by the FDA for injection into the skin.
* I understand that the health consequences of tattoo inks are unknown, and I accept this risk voluntarily.

DESIGN AND SPELLING RELEASE

* I accept full responsibility for the accuracy, meaning, and spelling of the tattoo design. Neither the Tattoo Studio nor the tattoo artist is responsible for errors in design, symbols, or text chosen by me.

PHOTOGRAPHY AND PROMOTIONAL RELEASE

I consent to the Tattoo Studio taking photographs of my tattoo for promotional or educational purposes.
* ( IF YOU DO NOT CONSENT PLEASE LET THE ARTIST KNOW IMMEDIATELY )
If I do not consent, I understand it is my responsibility to inform the Tattoo Studio prior to the procedure.

JURISDICTION AND LEGAL FEES

I agree that any legal disputes arising from this agreement or the services provided by Plug Tattoo and Piercings shall be governed by the laws of the State of California and resolved in Contra Costa County, California.
I further agree that if Plug Tattoo and Piercings prevails in any legal action I initiate, I will reimburse the Tattoo Studio for any legal fees and costs incurred.


COVID-19 DISCLOSURE AND ASSUMPTION OF RISK

In light of the COVID-19 pandemic, I affirm the following:
* I have not had COVID-19 in the last 14 days.
* I have not been in contact with someone diagnosed with COVID-19 within the last 14 days.
* I do not currently exhibit symptoms of COVID-19 (e.g., fever, cough, shortness of breath, loss of taste/smell).
* I understand that by entering the Tattoo Studio, I assume the risk of exposure to COVID-19, and I waive any claims against Plug Tattoo and Piercings for potential exposure.
 
(IF APPLICABLE) Please list any medical history that we need to know about .
 
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:*
Date of birth:*
You must be 18 or older
Phone #:*
Email:*
Signature:*


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