Consent Form (english)

Name

Please read and understand the following:

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I certify that the above Information is true and correct to the best of my knowledge. I enter into this agreement on my free will and I am in a sober (drug and alcohol free) condition. I certify that I am at least 18 years of age. To induce the above-named artist to tattoo/pierce my (location of tattoo)

And in consideration of their doing so, I hereby release the above-named artist from all liability, claims, damages, lawsuits, and demands, in law or equity, to the extent allowed by law, which I or my heirs might have now or hereafter, arising from or for complying with my request to be tattooed.

I understand that I will be tattooed using appropriate techniques to ensure proper healing of my tattoos. I agree to follow the procedures outlined on the accompanying care form for the care of tattoos until healing is complete. I understand that this type of tattoo takes 2 or more weeks to heal.

I understand that any tattoo should be considered permanent; that it can only be removed with a surgical procedure; and that any effective removal may leave scarring.

I understand that I will be tattooed using appropriate techniques to ensure proper healing of my tattoos. I agree to follow the procedures outlined on the accompanying care form for the care of tattoos until healing is complete. I understand that thistype of tattoo takes 2 or more weeks to heal.

I further understand that even with appropriate techniques, instruments, and the utmost of care, infection is always possible, and assume the risk of such an infection regardless of its cause.

I acknowledge that I am not suffering from diabetes, allergies, AIDS, hemophilia, epilepsy, seizures, fainting, narcolepsy, discoloration, swelling, lumps, or other types of irritation of the area to be tattooed, or any other condition that would make this condition dangerous. Any condition that requires the client to take medications such as anticoagulants that thin the blood or inferior with blood clotting, or any other information that would aid the technician in the body art procedure.

The above-named artist makes no warranties as to the meaning of any tattooed symbols or designs.

The above-named artist is not responsible for any complications due to mistreatment of the tattoo.

Body piercing may leave scarring.

The technician shall not perform a body art procedure if the client fails to complete or sign the disclosure and authorization form, and the technician may decline to perform a body art procedure if the client has any identified health conditions.

I HAVE CAREFULLY READ THIS CONSENT AND RELEASE FORM AND BY SIGNING THE SAME, AGREE TO ITS TERMS

Do you agree to these terms stated above?
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