• Tattoo Consent Form

    Tattoo Consent Form

    Consent: Application for Tattoo, Release of Liability and Waiver to All Claims
  • 313 main st, suite 2, manning, IA 51455
    lexi 712.579.5257

     

  • Client Information

    Please fill out the information below to the best of your knowledge
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  • Health Questionnaire

    Please select all that apply to you



  • Acknowledgment and Waiver

    By completing and signing this form, I acknowledge that I have been given the full opportunity to ask any and all questions which I might have about obtaining a tattoo from Nyx Ink & Beauty, and that all of my questions have been answered to my full and total satisfaction. I specifically acknowledge that I have been advised of the facts and matters set forth, and I agree as follows:
  • Woah, thats alot of words... but I gotta read it.

    by signing below:

    ~I acknowledge that infection is always possible as a result of 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 tattoo is healing. I agree that any touch-up work needed, due to my own negligence, will be done at my own expense. This includes sun and ultraviolet frequency damage.

    ~I acknowledge that Nyx Ink & Beauty does not offer refunds. 

    ~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 physical, mental or medical impairment or disability which might affect my well being as a direct or indirect result of my decision to have a tattoo.

    ~I acknowledge that if my tattoo is a symbol, or something written in a language other than English, that Nyx Ink & Beauty are not responsible for what it may or may not mean. 

    ~I acknowledge that if my tattoo includes text, that I am responsible for the correct spelling, grammar and punctuation. I have proofed the text before it is applied as a tattoo.

    ~I acknowledge that variations in colour and design may exist between any tattoo as selected by me and as ultimately applied to my body. I understand that if my skin is dark, the colours will not appear as bright as they do on light skin.

    ~I acknowledge that it is not reasonably possible for the representatives and employees of Nyx Ink & Beauty to determine whether I might have an allergic reaction to the dyes, pigments or processes used in my tattoo, and I agree to accept the risk that such a reaction is possible.

    ~I acknowledge the decision for obtaining my tattoo is my own free will and choice. I will consent to the design (once I am happy with the stencil) and I consent to the location of the tattoo and the performance of the tattoo procedure.

    ~I acknowledge and agree to following any and all instructions provided to me regarding the maintenance of a sanitary environment while I am being tattooed.

    ~I agree to immediately notify my tattooer if I feel lightheaded, dizzy and/or faint before, during or after the procedure. Failure to do so releases Nyx Ink & Beauty and my tattooer of all responsibility.

    ~I agree that I have not been in contact of Covid-19 and show no signs of being sick.

     

    phew you made it..

    You will sign the printed form in person!

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  • If you have any questions, feel free to email at nyxinkandart@gmail.com or shoot me a text 

    Thanks, Lexi

                                    

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