Tattoo Consent Form

  • Client Information

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  • I hereby give consent to Zen Ink, LLC to perform a tattoo and in consideration of doing so, I hereby release and forever discharge and hold harmless Zen Ink, LLC, the Tattooist and all affiliates, Owners, Managers and Independent Contractors from any and all claims, damages or legal actions arising from or connected in any way with my tattoo, or the procedure and conduct used in my performing my tattoo, to the fullest extent allowed by the law.*
  • I fully understand that any Independent contractor of Zen Ink, LLC when performing a tattoo, does not act in the capacity as a medical professional. The suggestions made by any Independent Contractor or agent of Zen Ink, LLC are just suggestions. They are not to be construed as, or substituted for advice from a medical professional. I understand that the tattoo will be performed using appropriate techniques, instruments, and pigments.*
  • To ensure proper healing of my tattoo, I agree to follow the written and verbal aftercare instructions that will be provided, until healing is complete. I understand that infections can occur due to lack of proper hygiene and/or pigment sensitivities. I agree that any touch up work, due to my negligence, will be done at my own expense. I understand that a tattoo may take 4-8 weeks to heal properly.*
  • For tattoos in the areas of: Fingers, Hands, Inner Lip, Side of Foot, Bend of wrist, I understand that getting a tattoo in any of the above areas is not guaranteed to stay. It will likely fade or disappear. Touch ups (in any of the listed areas) are to be done at the expense of the client. Likely at the rate of the shop minimum each time.*
  • I understand that I am making a permanent change to my body, and no claims about the possibility of reversing these changes have been made or implied by Zen Ink, LLC or any of its Independent Contractors or agents.*
  • I agree that these waivers also pertain to and are designed to protect any and all establishments of Zen Ink and their Independent Contractors.*
  • I am at least 18 years old.*
  • Do you have a heart condition?*

  • Do you have Diabetes?*

  • Do you have Epilepsy?*

  • Do you suffer from Hemophilia?*

  • Do you have any communicable diseases (ex: hiv, hepatitis)?*

  • Do you have sunburn, discoloration, lumps around the tattoo area?*

  • Are you pregnant/breastfeeding?*

  • Have you eaten in the last 5 hours? It's a good idea to eat before hand to increase your blood sugar levels. (If you have not, there is a higher risk for passing out/getting sick, so please ASK us for a snack before we start).*

  • Do you suffer from any condition that makes this procedure dangerous?*

  • Have you consumed drugs/alcohol in the last 8 hours? if so, what and how many?*

  • Have you recently taken: blood thinners, antibiotics, prednisone, accutane?*

  • Are you prone to fainting?*

  • Client is responsible for checking for spelling and correct dates. I agree to check spelling and dates with my artist before the tattoo. I agree to placement of the stencil prior to tattooing.*
  • I agree to speak softly and silence my cell phone in order to help keep a calm, spa like environment.*
  • If being tattooed by an apprentice, I acknowledge and I am fully aware that my tattoo artist is an apprentice and still learning. I understand that apprenticeships are a form of on-the-job training where the art of the tattoo can be taught, along with techniques for avoiding blood-borne pathogens, handling needles, and studio etiquette. I understand that apprentices are still getting valuable hands-on experience and learning the craft of tattooing. I am aware that this tattoo apprentice does have valid up to date Blood Borne Pathogen (BBP) training certificate and is registered as a Body Art Practitioner with the county Health Department. I understand the risks involved and consent to be tattooed by this tattoo apprentice.
  • Are you currently sick? In the last 14 days, have you been sick or been in contact with anyone that is sick.*
  • I understand that getting tattooed does temporarily stress the body and the immune system, which could make me more susceptible to illness and infection. I accept this risk.*
  • I understand the Zen Ink has put additional protective measures in place in order to reduce the risk of contamination, virus, or pathogen but it is impossible to completely eliminate that risk.*
  • I agree to release and forever hold harmless Zen Ink and its agents and representatives for any and all claims, damages, or legal actions in the event I contract COVID-19 or any other illness after choosing to get tattooed.*
  • I agree that Zen Ink has a zero tolerance policy regarding professional boundaries. This includes harassment of an artist verbally or physically. I agree to behave respectfully and maintain professional boundaries at all times.*
  • I understand that if I am getting a coverup tattoo that it is possible that portions of the old tattoo may show through. I understand that coverups may take multiple sessions to complete. I also understand that a coverup tattoo cannot cover existing scarring/scar tissue. Furthermore, I understand that with time and sun exposure the old tattoo may show through more than it did initially. Any touch ups on coverup tattoos, to layer in more ink, are at the customers expense.*
  • I consent to Authorization for Picture of my Tattoo to be used on Social Media, Website etc. (This will only be a close up of the tattooed area.)*
  • Some of the products we use may contain the ingredients below. Are you allergic to any of the following?*

  • How did you hear about us?*

  • Acknowledgment and Waiver

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