I acknowledge by signing this agreement that I have been given the full opportunity to ask any and all questions which I might have about obtaining a tattoo, and that all of my questions have been answered to my full satisfaction. I acknowledge I have been advised of the facts and matters set forth below and I agree to the following:
- If I have diabetes, epilepsy, hepatitis, hemophilia, HIV-AIDS or any other communicable disease, heart condition or take medicine that thins the blood, I have advised my tattooist. I am not pregnant or nursing. I am not under the influence alcohol or drugs.
- I do not have medical or skin conditions such as but not limited to: acne, keloid scarring, eczema, psoriasis, moles or sunburn in the area to be tattooed that may interfere with the tattoo.
- I acknowledge it is not reasonably possible for the representatives and employees of this establishment to determine whether I might have an allergic reaction to the pigments or processes used to apply my tattoo, and I agree to accept the risk that such a reaction is possible.
- I acknowledge that infection is always possible when obtaining a tattoo, particularly in the event that I do not take proper care of my tattoo. I have received aftercare instructions and I agree to follow them while my new tattoo is healing. I agree that any touch up work needed due to my own negligence will be done at my own expense.
- I understand that variations in color and design may exist between the art I have selected and as ultimately applied to my body, due to all skin being different.
- I understand that colors may fade over time. I understand that over-exposure to the sun will seriously affect the lifetime of my tattoo.
- I understand that if I have any skin treatments, laser hair removal, plastic surgery or other skin altering procedures, it may result in adverse changes to my tattoo.
- I acknowledge that a tattoo is a permanent change to my appearance and that no representations have been made to me as to the ability to later change or remove my tattoo.
- To my knowledge, I do not have any physical, mental, or medical impairment that might affect my ability to make a decision to receive a tattoo.
- I acknowledge I am over the age of eighteen (18) and that I have truthfully represented to my tattooist that obtaining a tattoo is by my choice alone. I consent to the application of the tattoo and any actions reasonably necessary to perform the tattoo procedure.