Tattoo Release Form
Louisville Ink & Beauty 1827 Bardstown Rd #A
Take a picture of your Drivers License or State ID
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Name
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First Name
Last Name
Email
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example@example.com
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Please enter a valid phone number.
Drivers Licence #
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Date Of Birth
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Month
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Day
Year
Date
Location and Description of Tattoo
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Read and Check All The Boxes
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I am not pregnant
I am free of Communicable Diseases
I have truthfully represented to the associates, agents, representatives of LBAW that I am eighteen (18) years of age or older, have no guardian or committee appointed for me by any court anywhere and am competent and make this release
I understand that it is not reasonably possible for the associates, agents, representatives of LBAW to determine whether I might have any allergic reaction to aftercare ointment or the processes used in the tattoo; and I voluntarily assume and accept all risks that such reactions are possible.
I understand that infection is possible as a result of a tattoo, particularly in the event that I fail to take proper care of my tattoo or have sensitivities to pigments. If signs of infection are present, I will promptly contact my doctor.
I will wash my tattoo 2 x a day, pat dry and apply a thin layer of A & D or other tattoo aftercare ointment on it multiple times a day to keep it moist as it heals (at least 2 weeks). I will avoid sun, pools, tubs and other bodies of water for 2 weeks while it heals. I will do my best to avoid sweating for the first 1-2 weeks for the best healed results.
I understand that a tattoo is a permanent change to my body and appearance and no representation has been made that once made, any tattoo can be altered or removed.
My tattoo is by my choice alone, and I have not been influenced in anyway by LBAW to obtain a tattoo. I consent to the application of my tattoo, and procedures necessary to perform the tattoo.
I understand that healed results will vary based on individual's skin, medications, sun exposure and aftercare and that designs are subjective and may differ from my expectations as art is subjective but that I did choose and/or approve the design to be applied to my body.
I release, forever discharge, and hold harmless LBAW and its apprentices, associates, agents, offers and owners, landlord, from and against any and all claims, damages, and/or legal procedures actions arising from or in anyway connected to my tattoo and/or by which my tattoo is applied.
I am not prone to fainting to my knowledge and will not hold anyone at LBAW responsible should I faint.
I have ate within the last 2-3 hours
I understand that there are risks involved in the application of a tattoo and there are NO REFUNDS once a tattoo has been paid
I covenant and declare that I am not intoxicated or under the influence of drugs or alcohol.
I understand that LBAW may refuse to perform my tattoo at their sole discretion at any given time.
I understand that perfecting sessions are FREE of charge so if anything doesn't heal well, I will schedule a perfecting session to clean up any lines/shading that may have not taken. We still appreciate tips on these sessions for our time but we want you to have the best tattoo possible so if it needs a little love, please come back and let us fix it! :)
I do not take blood thinners and/or in the case that I do--,I have consulted my doctor and he/she has agreed it to be safe that I not take blood thinners for 48 hours prior to the procedure.
I do not have any medical problems or allergies which in any way affect or might affect my tattoo. If I do, I have entered them in the box below.
Enter any medical/allergy problems which in any way affect or might affect my tattoo
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Type " I Agree" if you agree and consent to our Cancellation Policy
At Louisville Beauty and Wellness, your appointments are very important to us and we understand that sometimes appointments need to be re-scheduled or canceled. Because most of our services require preparation time to properly prepare a room for your treatment, we have Cancellation Policies in place. In order to provide you and others with excellent customer service and access to appointments during peak times, we kindly ask for the following considerations: CANCELLATION POLICY & FEES: We respectfully request AT LEAST 48 hours notice to cancel or reschedule your appointment but ideally we prefer one full week in order to have the time to fill that spot with someone else. Less than 48 hours notice will result in a charge equal to 100% of the reserved service amount. 50% of that will be applicable to reschedule another (or the same) service within one year. The other 50% will be forfeited for the artist’s time. All "NO SHOWS" will be charged 100% of the reserved service amount to be forfeited for the artist’s time/room setup. This cancellation policy allows us time to inform our standby guests of any availability. Without sufficient notice, we end up turning away other clientele who could have scheduled an appointment for the same time. ARRIVAL TIME: Please arrive for your appointment 5 minutes before your scheduled appointment time. This allows for extra time to attend to your paperwork etc. Arriving early will not guarantee your service will start before your scheduled appointment time. LATE ARRIVALS: We understand that sometimes things happen outside of your control to make you late for your appointment. We will do everything we can to accommodate you, but unfortunately it will limit the time allocated for your treatment or we may need to reschedule your appointment. If we have to reschedule your appointment, you will be responsible for 50% of the value of the original service(s). Please let us know as soon as possible if you are running late so we can best accommodate everyone. Thank you for viewing and supporting our policies criteria.
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