Tattoo Pre-Procedure Questionnaire and Consent Form

In consideration of receiving a tattoo/piercing from Royal Sword Tattoo and Art Gallery including its artists, associates, apprentices, agents, or any employees (hereinafter referred to as the “Tattoo/Piercing Studio” I, , agree to the following:

I have been fully informed of the inherent risks associated with getting a tattoo/piercing. Therefore, I fully understand that these risks, known and unknown, can lead to injury including but not limited to: infection, scarring, difficulties in the detection of melanoma and allergic reactions to tattoo pigment, latex gloves and/or soap. Having been informed of the potential risks associated with getting a tattoo/piercing I wish to proceed with the procedure and application and freely accept and expressly assume any and all risks that may arise from tattoo/piercing.

I WAIVE AND RELEASE to the fullest extent permitted by law any person of the Tattoo/Piercing Studio from all liability whatsoever, including but not limited to, any and all claims or causes of action that I, my estate, heirs, executors or assigns may have for personal injury or otherwise, including any direct and/or consequential damages, which result or arise from the procedure and application of my tattoo/piercing, whether caused by the negligence or fault of either the Tattoo/Piercing Studio, or otherwise. Answers left blank are taken as NO.

The Tattoo/Piercing studio has given me the full opportunity to ask any question about the procedure and application of my tattoo/piercing and all of my questions, if any, have been answered to my total satisfaction.

The Tattoo/Piercing studio will give me instructions after the procedure on the care of my tattoo/piercing while it's healing. I understand and will follow them. I acknowledge that it is possible that the tattoo/piercing can become infected, particularly if I do not follow the instructions given to me. If any touch-up/re-piercing work to the tattoo/piercing is needed due to my negligence, I agree that the work will be done at my own expense.

I am not under the influence of alcohol or drugs, and I am voluntarily submitting to be tattooed/pierced by the Tattoo/Piercing studio without duress or coercion.

I do not suffer from diabetes, epilepsy, hemophilia, or heart condition(s), nor do I take blood thinning medication. I do not have any other medical, allergy, or skin condition that may interfere with the procedure, application or healing of the tattoo/piercing. I am not the recipient of an organ or bone marrow transplant, or if I am, I have taken the prescribed preventative regimen of antibiotics that is required by my doctor in advance of any invasive procedure such as tattooing or piercing. I am not pregnant or nursing. I do not have a mental impairment that may affect my judgment in getting the tattoo/piercing.

The Tattoo/Piercing studio is not responsible for the meaning or spelling of the symbol or text that I have provided to them or chosen from the flash (design) sheets.

Variations in color, design, and or style may exist between the tattoo/piercing I have selected and the actual tattoo/piercing when it is applied to my body. I also understand that over time, the colors and the clarity of my tattoo will fade due to unprotected exposure to the sun and the naturally occurring dispersion of pigment under the skin.

or surgical means, which can be disfiguring and/or costly and which in all likelihood will not result in the restoration of my skin to its exact appearance before being tattooed.

I release the right to any photographs taken of me and the tattoo/piercing and give consent in advance to their reproduction in print or electronic form. 

I agree that the Tattoo/Piercing studio has a NO REFUND policy on tattoos, piercings and/or retail sales and I will not ask for a refund for any reason.

I agree to reimburse the Tattoo/Piercing studio for any attorneys' fees and costs incurred in any legal action I bring against the Tattoo/Piercing studio and in which either the Artist of the Tattoo/Piercing studio is the prevailing party. I agree that the courts located in the County of San Luis Obispo within the State of California shall have jurisdiction and venue over me and shall have exclusive jurisdiction for litigating any dispute arising out of or related to this agreement.

I acknowledge that I have been given adequate opportunity to read and understand this document and that it was not presented to me at the last minute and grasp that I am signing a legal contract waiving certain rights to recover damages against the Tattoo/Piercing studio.

If any provision, section, subsection, clause or phrase of this release is found to be unenforceable or invalid, that portion shall be severed from this contract. The remainder of this contract will then be construed as though the unenforceable portion had never been contained in this document.

I hereby declare that I am of legal age (and have provided valid proof of age and identification) and am competent to sign this Agreement.

I HAVE READ THE AGREEMENT, I UNDERSTAND IT, AND I AGREE TO BE BOUND BY IT.