Outer Limits LB Deposit Slip (Kari Barba)
Please Read over carefully and complete the fields below.
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Artist
*
Kari Barba
Tattoo Description
*
Please write in a brief description of your tattoo. Include subject matter, approximate size, placement, and any other pertinent details.
Deposit Amount (unless another amount discussed)
*
$1000
Appointment dates and times for Kari will be scheduled by her assistant once the deposit is paid.
I agree to leave a NON-REFUNDABLE and NON-TRANSFERABLE deposit for one or more tattoo appointments. The deposit will go toward the payment for my scheduled appointment(s). For multiple session tattoos, the deposit will be deducted from the cost of the final session. I must give the tattoo artist/shop more than 7 days notice to reschedule my appointment, or i will forfeit my deposit.
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initials
I must notify the artist / shop more than 7 days beforehand to reschedule an appointment, or I will forfeit my deposit.
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initials
I must notify the artist / shop only by calling the shop phone during business hours. I understand that an email, voicemail, or any other online messaging will not suffice as notice.
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initials
If I am late more than 15 minutes to my scheduled appointment, I forfeit my deposit.
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initials
I can only reschedule my appointment up to 2 times, or I forfeit my deposit. If I am getting a multiple session tattoo, I can only reschedule 2 of those sessions, or I forfeit my deposit.
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initials
I understand that if I am sick or have a rash, wound burn, skin irritation, or any other factor that might affect the area to be pierced, I will not be able to get tattooed and must notify the artist / shop accordingly - prior to the appointment day.
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initials
I understand that getting tattooed and healing a tattoo could compromise my immune system - possibly making me more susceptible to illness.
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initials
I agree to a 4 hour minimum charge per session.
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initials
By signing below, I acknowledge that I have read and agree to the terms stated above.
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Clear
Today's Date
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Month
-
Day
Year
Date
Please check any of the
following conditions that apply
Covid-19 / Corona Virus
(or if I have been exposed)
Diabetes
Epilepsy
T.B.
Hepatitis
HIV / AIDS
Hemophilia
Scarring / Keloiding
Pregnant / Nursing
Heart Condition
Eczema / Psoriasis
Herpes
Cardiovasular Disease
Faint or DIzzy
Infections
Asthma
Blood Thinners
Please list any allergies, diseases, condtions, medications, or any known illnesses below. If none, please write "none".
*
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Kari Barba Tattoo Deposit
Tattoo deposit for Kari Barba at Outer Limits Tattoo in Long Beach
$
1,000.00
Submit
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