TATTOO CONSENT FORM

PLEASE READ AND INITIAL IN ALL THE BOXES TO SHOW THAT YOU UNDERSTAND AND AGREE WITH EACH PROVISION. PLEASE ASK ANY QUESTIONS REGARDING THIS WAIVER

First and last name please ~

First NameLast Name

In consideration of receiving a tattoo from the artist (type name of artist below), at Good Feeling Tattoo, I agree to the following provisions:

I have been fully informed of the inherent risks associated with getting a tattoo both during the procedure and after. Therefore, fully understand that these risks, known and unknown, can lead to injury including but not limited to: infection, scarring, difficulties detecting melanoma and allergic reactions to tattoo pigment, gloves, soap, salve, and or aftercare products. Having being fully informed about the potential risks associated with getting a tattoo wish to proceed with the tattoo procedure and application and freely accept and expressly assume and all risks that may arise from receiving a tattoo.

I WAIVE AND RELEASE to the fullest extent permitted by law any person of Good Tattoo (including guest artists) from all liability whatsoever, including but not limited or causes of action that I, my estate, heirs, executors or assigns may have for injury or otherwise. This includes any direct or consequential damages, which result the procedure and application of my tattoo, whether caused by the negligence either the artist, Good Feeling Tattoo, or otherwise.

Good Feeling Tattoo has given me the full opportunity to ask any questions I may the procedure, application, and care of my tattoo. These questions have all been to my total satisfaction.

I have been given instructions on the care for my tattoo while it is healing. I and will follow them. I acknowledge that the by not following these instructions, may become infected, scar, fade, or heal incorrectly. If touch up work is needed due negligence I agree that it will be done at my own expense.

I am not under the influence of alcohol or drugs. I am voluntarily getting tattooed coercion or duress.

I do not suffer from diabetes, epilepsy, hemophilia, heart conditions,nor do I take medication. I do not have any medical or skin condition that may interfere with or healing of the tattoo. I am not a recipient of an organ or blood marrow. If have any of these conditions have my doctors approval to get tattooed and any directions they have given me. I am not pregnant or breastfeeding.

The artist nor Good Feeling Tattoo is responsible for the meaning or spelling of the tattoo. I have double checked and researched any spelling or meaning prior to the procedure.

I understand that variations in color and design may exist between the design and when applied to my body. I also understand that everyone's skin is different and colors may heal different in my skin. Over time the colors and clarity of my tattoo will fade due to sun exposure and naturally occurring dispersion of ink under the skin, I am fully aware of this.

A tattoo is a permanent change to my appearance and can only be removed with treatments or surgical means which can be costly and which is likely to not fully restore my exact appearance before being tattooed.

I release the right to any photographs taken of me and my tattoo and give consent to used for internet posts and portfolio needs. (If you are uncomfortable with this please space blank and inform your artist to ensure no photos are taken of you and your tattoo)

I agree and understand that Good Feeling Tattoo has a no refund policy on tattoos and will not ask for a refund for any reason.

I agree to reimburse the artist and/or Good Feeling Tattoo for any attorney fees and in any legal action bring against the artist and or Good Feeling Tattoo. I agree that the courts located in Montgomery county within the state of Ohio shall have exclusive jurisdiction over me for the purpose of litigating any dispute arising out of or related to this agreement.

I acknowledge that I've been given adequate time to read and understand this and understand that am signing a legal contract waiving certain rights to recover damages against the artist or Good Feeling Tattoo.

I hereby declare that am of legal age and have provided valid proof of age and and am fully competent to sign this legal document.

I have read this agreement, I understand it, and I agree to be bound by it.

Signature

Date

Print full name

Pronouns

Allergies I should be aware of

Address

City

State

phone

Emergency contact ( name and phone number)

ID #

Take Photo of ID

Below questions are for the artist:

Tattoo description and placement

Inks

Inks/ needles/tubes

Artist signature

Date