RELEASE FORM

I was offered and have used hand sanitizer. I don't have COVID symptoms and I haven't been diagnosed with COVID in the last 14 days. I was given the option of having my temperature taken. Evolved has offered to sanitize my phone with their UV apparatus. I am wearing a face mask or face covering unless I fall into one of the categories that grants exemptions.*

I feel great!
What brings you in today?*
FOR TATTOOS: I have spoken with or will speak to my artist about the details of my tattoo design. I have checked, double-checked, and even triple-checked(!) spelling, grammar, punctuation, size, placement, color, and everything else related to my tattoo. I understand that it is MY sole responsibility to ensure that my tattoo is accurate and exactly how I want it. If I am getting a tattoo in a compromised area (feet, hands, neck, face, etc.), I have spoken with my artist and am aware that the work is not guaranteed because of the location of its placement.*

I agree
FOR PIERCINGS/JEWELRY CHANGES: I understand that Evolved is not responsible for the loss or damage of any jewelry and agree to release them from any claim related thereto.*

I agree
Which location are you at?

CLIENT INFORMATION:

Parents and legal guardians of minors receiving a tattoo or piercing, please fill out your information at the end of the form.
Your Chosen Name
Government Name*

First Name Last Name
Your Pronouns
Email*
example@example.com
Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number*

Area Code Phone Number
Date of Birth*

Month Day Year
Date

MonthDay Year
Date
Age

FOR PARENT/LEGAL GUARDIAN OF MINOR

Please read through the following
Parent's Name*

First Name Last Name
Preferred Name
Your Pronouns
I hereby release any and all persons representing Evolved from any responsibility. I accept any and all responsibility myself for any consequences that might stem from my request to have any work done by Evolved on my child.*

I agree
I agree not to seek reparations from Evolved in connection with any and all damages, claims, demands, rights, and causes of action of whatever kind or nature, based upon injuries or property damage to myself or any other persons arising from our decision to have work done at this time, whether or not caused by any negligence of Evolved.*

I agree
I agree for myself, my heirs, assigns, and legal representatives to hold Evolved harmless and not responsible for any damages, actions, cases of action, claim judgments, cost of litigation/attorney's fees, and all other costs and expenses which may arise from my decision to have any tattoo, piercing, or any other work done by Evolved on my child.*

I agree
I certify under Penalty of Perjury that the above information is true and correct.*

I agree

Please attach a copy of your valid, legal ID:*

Click here to take/upload photo of your ID
Identification that we accept: Driver's license (that's not expired, temporary papers from the BMV are fine), State IDs, and Passports. Cancelof
For Minors - Please attach a copy of your birth certificate and your ID:

Click here to take/upload photo of your ID and birth certificate
Identification that we accept: Driver's license (that's not expired, temporary papers from the BMV are fine), State IDs, Passports, School ID (with photo), Recreational pass (with photo), etc. If you have any questions about an ID for your child, please let us know. We'd be happy to help! Cancelof
For Parents/Guardians of Minors - Please attach a copy of your valid, legal ID and any other needed documentation:*

Click here to take/upload photo of your ID
Identification that we accept: Driver's license (that's not expired, temporary papers from the BMV are fine), State IDs, and Passports. Cancelof
Date*
Signature*

Clear
Minor's Signature*

Clear
Parent or Legal Guardian's Signature*

Clear
Should be Empty:

CLIENT INFORMATION: