Aura Art & Ink at Aura Creative Studio Tattoo Consent Form
Please answer all questions honestly. This form MUST be submitted BEFORE your appointment in order to help keep us all on schedule. Please note that MASKS ARE REQUIRED if you do not wish to submit a current covid test so we can avoid all viruses, flus and colds. We do not provide masks. Thank you in advance!
Full Legal Name
*
First Name
Last Name
Preferred Name
Personal Gender Pronouns
He/ Him
She/Her
They/Them
Other
Mailing Address
*
Street Address
Apt / Unit Number
City
State / Province
Postal / Zip Code
Email
*
Confirmation Email
example@example.com
Cell Phone
*
-
Area Code
Phone Number
Date of Birth
*
/
Month
/
Day
Year
Date of Birth
Covid Test Required - Please Upload a photo result of the test you took with the last 24 hours.
*
I acknowledge that I must wear a mask vaccinated or not, if I do not take a covid test.
*
I understand that this business has the right to ask me to reschedule my appointment based on my responses to these questions.
*
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 the obtaining of a tattoo and that all of my questions have been answered to my full satisfaction. I specifically acknowledge I have been advised of the facts and matters set forth below and I agree as follows
*
If I have any condition that might affect the healing of this tattoo, I will advise my tattoo artist. I am not pregnant or nursing. I am not under the influence of alcohol or drugs. I understand that the studio can & will ask me to leave if I appear OR smell of alcohol, marijuana, or other substance AND I WILL BE FINANCIALLY RESPONSIBLE FOR PAYING THE FULL AMOUNT OF TIME OF MY SCHEDULED APPOINTMENT.
*
I do not have medical or skin conditions such as but not limited to: acne, scarring (Keloid) eczema, psoriasis, freckles, moles or sunburn in the area to be tattooed that may interfere with said tattoo. If I have any type of infection or rash anywhere on my body, I will advise my tattoo artist.
*
I acknowledge it is not reasonably possible for the representatives and employees of this tattoo shop to determine whether I might have an allergic reaction to the pigments or processes used in my tattoo, and I agree to accept the risk that such a reaction is possible.
I acknowledge that infection is always possible as a result in 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, will be done at my own expense.
*
I acknowledge that I am responsible for purchasing my own aftercare. If the studio offers this to buy, I may purchase it in addition to the total amount due at the end of my tattoo session.
*
I understand that I have been advised on how to care for my tattoo and upon leaving the studio, I am fully accountable of proper care and healing of the tattoo and understand that if I do not remember, I will text my artist or visit www.theauracreativestudio.com/aftercare.
*
I realize that variations in color and design may exist between any tattoo as selected by me and as ultimately applied to my body. I understand that if my skin color is dark, the colors will not appear as bright as they do on lighter skin tones.
*
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 a 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 understand that my deposit (if I paid a deposit) will come off the total in the end of my tattoo. If my tattoo is not completed the day of the appointment and must come back for another visit, my deposit may be deducted at that time.
*
I understand that if my tattoo artist must make ANY alterations to my art (outside of making my stencil), I must pay for this time.
*
I acknowledge that my tattoo ESTIMATE is not exact and can be more or less, depending on the actual amount of time it takes to complete my art work. I know I am responsible for the time it takes to tattoo me.
*
I ACKNOWLEDGE THAT THE QUOTE GIVEN TO ME IS AN ESTIMATE, AND NOT A GUARANTEE OF THE AMOUNT OF TIME IT WILL TAKE TO DO MY TATTOO, THIS INCLUDES: APPLYING MY STENCIL (IF THE ARTIST HAS TO MOVE IT, THIS IS TIME I AM PAYING FOR), PERFORMING THE ACTUAL TATTOO, AND CLEANING MY SKIN UP.
*
I acknowledge that a tip is not included in the total hourly rate.
*
I am over the age of eighteen and I have presented proof of this to to my tattoo artist. Receiving this tattoo is my choice alone. I consent to the application of the tattoo and to any actions or conduct of the representatives and employees of the tattoo shop reasonably necessary to perform the tattoo procedure. (Washington State Law prohibits ANYONE under the age of 18 years of age to get tattooed)
*
I grant Aura Creative, Inc. to use my likeness in photographs & videos in any way the company sees fit including social media and the website. By signing this release, I accept that photographs may be used on the internet or in any other print or electronic media / internet, etc. that Aura Creative, Inc. chooses. I will make no monetary or other claim against Aura Creative, Inc. for use of the photographs or video taken while I am in their studio; or any event Aura Creative, Inc. sponsors or presents.
*
I accept any and all charges Aura Creative, Inc. runs on my credit card; or debit card. The total was presented to me prior to handing over my card. My artist will explain all charges PRIOR to running my payment method.
*
I agree that I understand that anytime, when I book a tattoo now or in the future, if I need to reschedule or cancel my appointment I MUST let my artist know ASAP, with a minimum of 72 hours prior to my start time, otherwise my artist reserves the right to charge 50% - 100% of the time I had booked, including my deposit. I understand that by not providing sufficient notice - my artist can not make income for reserving this time for me.
*
I acknowledge that I will be allowed into the studio ONLY when I am clean, free of drugs, and free of alcohol. I understand that I must respect EVERYONE in the studio, including Aura Creative, Inc. employees, owners and ALL it’s clients. By being in the studio, I will be respected; as will my time, and should someone call asking for me, Aura Creative, Inc. and it’s employees reserves the right to refuse to offer such information, for the privacy and safety of it’s clients. I understand that if I do not respect these simple rules, I will be asked to leave for an extended amount of time, decided by the ownership.
*
I acknowledge that I will behave in a civilized manner. I understand that I am allowed to disagree with ownership and employees, but I will express this in a polite way. My artist has the right to reschedule or cancel my appointment, same day, should they decide that they can not work with me, based on my attitude and treatment of them. If my artist asks me to leave, based on my behavior, I will be 100% responsible for the entire appointment that day..
*
COVID-19 Assumption of Risk & Waiver of Liability: Aura Creative Studio ("The Tattoo Studio") has put in place preventative measures to reduce the spread of COVID-19; however; the tattoo studio can not guarantee that you will not become infected with COVID-19. Further, getting tattooed could increase your risk of contracting COVID-19.
*
COVID-19 Assumption of Risk & Waiver of Liability: By signing and agreeing to this, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk I may be exposed to or infected by COVID-19 by leaving my home and coming to Aura Creative Studio, and such exposure or infection may result in personal injury, illness, permanent disability, or death.
*
COVID-19 Assumption of Risk & Waiver of Liability: By signing and agreeing to this, I acknowledge that I understand that the risk of becoming exposed to or infected by COVID-19 at the tattoo studio may result from the actions, omissions, or negligence of myself and others, including, but not limited to, the studio employees, it’s clients.
*
COVID-19 Assumption of Risk & Waiver of Liability: By signing and agreeing to this, I acknowledge that I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself, (including, but not limited to, personal injury, disability, or death), illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with visiting Aura Creative Studio and Aura Art & Ink.
*
COVID-19 Assumption of Risk & Waiver of Liability: By signing and agreeing to this, I acknowledge that I hereby release, covenant not to sue, discharge, and hold harmless the tattoo studio, it's owner, artist, employees or other clients at Aura Creative Studio , agents of either business and its representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of relating thereto.
COVID-19 Assumption of Risk & Waiver of Liability: By signing and agreeing to this, I acknowledge that I understand and agree that this release includes any Claims based on the actions, commission's, or negligence of the business & its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after visiting for an appointment or other visit.
*
IF YOU HAVE READ THIS FORM IN ITS ENTIRETY AND AGREE TO EVERYTHING, PLEASE TYPE YOUR FULL NAME HERE.
*
YOUR FULL NAME
Today's Date
*
-
Month
-
Day
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
Minutes
AM
PM
AM/PM Option
Date & Time of scheduled appointment with us.
*
-
Month
-
Day
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
Minutes
AM
PM
AM/PM Option
Signature
*
ID verification
*
Browse Files
Cancel
of
Save
Submit
Should be Empty: