Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date
Front of ID
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Back of ID
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Body Location of Tattoo
*
Brief Description of Tattoo
*
Tattooer Name
*
Please Select
Izabella
Hannah
Rabbit
Ben
I hereby give consent to be tattooed by the Artist listed above at Invisible Hand Tattoo (the studio) and I certify each and all of the following:
*
I am not under the influence of drugs or alcohol, nor am I mentally impaired in any way, and I am of legal age and competence to sign and be legally bound by all terms of this document. If I am a minor I am accompanied by my legal guardian to also sign and be bound by this document.
I know that tattoos are a permanent alteration of my body and appearance, and I affirm that at no time has any agent of Invisible Hand represented to me that a tattoo can be altered or removed once applied, and that tattoo removal may leave scars.
If my design includes any symbols, numbering, lettering, or words (whether in English or otherwise) I have reviewed them on the final stencil and approve of their meaning, spelling, ordering, and placement.
I understand that tattoos as applied can vary from the original design and they will appear differently within the skin once healed and settled as compared to the day they are applied.
I am not pregnant or nursing.
I have not ingested an anticoagulant that thins the blood or interferes with blood clotting within the last 24 hours.
I have been provided aftercare instructions regarding: care of the site of the tattoo, instructions on possible side effects, information on any restrictions, signs and symptoms of infection, and instructions to consult a physician if fever, excessive swelling, excessive redness, or drainage occur.
I am aware that some risks of receiving a tattoo include, but are not limited to, the following: injury at the application site and elsewhere, including the potential for scarring and infection; potential allergic reaction to inks, ointments, soaps, bandages, or any other items used in the tattoo process; permanent alteration of my appearance and the appearance of my skin; possible difficulties arising from permanently coloring the skin; and any other health consequences associated with traumas to the skin.
I have informed my artist of the following relevant health issues that might interfere with my ability to receive, tolerate, or heal my tattoo (please check and describe, notify artist):
*
NONE APPLY
Heart Conditions
Skin Conditions
Diabetes
Prescription Medication or other drug/alcohol use
Suppressed Immune Response or Autoimmune Conditions
Any and all Infectious or Communicable Diseases
Blood Borne Diseases such as Hepatitis or HIV
Any other conditions, or additional description if any of the above are checked:
I have been informed of the risks associated with receiving a tattoo, I understand and accept all risks of the procedure (both known and unknown), and I release and indemnify Invisible Hand and all of its artists, employees, apprentices, and agents to the fullest extent permitted by law from any and all manners of liabilities, claims, actions, demands in law or equity, which I or my heirs now or in the future might make as a result of the studio complying with my request for this tattoo procedure. I assume all of these risks and hold harmless Invisible Hand and all of its agents. Furthermore, I release Invisible Hand and all of its agents from all liability, any and all claims involving personal injury or otherwise, including any direct or indirect consequential damages relating to or arising from my request for this tattoo and the procedure to apply it, whether caused by negligence or fault of the artist or the Invisible Hand studio itself.
*
I Agree
Electronic Signature
*
Today’s Date
*
-
Month
-
Day
Year
Submit
Should be Empty: