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

Initials* The Studio has given me the full opportunity to ask any questions about the procedure and application of my tattoo. All of my questions, if any, have been answered to my total satisfaction.

Initials* I understand that I can stop the tattoo application procedure at any time and for any reason.

Initials* The Studio has given me instructions on the care of my tattoo while it is healing. I acknowledge that it is possible that the tattoo can become infected and that I have had ample opportunity to consult a medical doctor prior to the procedure or may need to consult a medical doctor after the procedure.

Initials* If any touch-up work to the tattoo is needed, I agree that the work will be done at my own expense, unless the touch-up work is needed to complete the application of the tattoo.

Initials* I am legally able to give consent for the tattoo, I am not under the influence of alcohol or drugs, and I am voluntarily submitting to be tattooed by the The Studio. I am not acting under duress or coercion. If any person came with me to the The Studio, they have done so, as a family member or friend, and not to influence my voluntary decision to consent to be tattooed.

Initials* I do not suffer from diabetes, epilepsy, hemophilia, or heart condition(s). I do not take blood thinning medication. I do not have any other medical or skin condition that may interfere with the procedure, application or healing of the tattoo. I am not the recipient of an organ or bone marrow transplant.

Initials* I am not pregnant or nursing. I do not have a mental impairment that may affect my judgement in getting the tattoo.

Initials* I acknowledge it is not reasonably possible for the The Studio 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

Initials* The Studio is not responsible for the meaning or spelling of the symbol or text that I have provided to the The Studio or that I choose from the flash (design) sheets. Variations in color and design may exist between the tattoo art I have selected and the actual tattoo when it is applied to my body. I also understand that over time, the colors and the clarity of my tattoo will fade for many reasons, including exposure to the sun and the naturally occurring dispersion of pigment under the skin

Initials* A tattoo is a permanent change to my appearance. Any procedure to remove, in whole or in part, the tattoo can be disfiguring and costly. Any procedure to remove, in whole or in part, the tattoo will not result in the restoration of my skin to its exact appearance before being tattooed. The Studio is not responsible for the costs associated with removal, in whole or in part, of the tattoo.

Initials* Please release or do not release, give consent or do not consent and grant or do not grant the statements below. Failure to do so will grant The Studio the ability to use photography and videos as content for use in exhibitions, publicity, advertising, and promotional materials without reservation or limitation.

Initials*I understand that The Studio has a NO REFUND policy on tattoos and/or retail sales and I will not ask for a refund for any reason whatsoever

Initials* I understand that The Studio does NOT REFUND any deposits made if appointment is canceled or rescheduled less than 24 hours prior to appointment date. If appointment is rescheduled to a future date not more than 7 calendar days after the canceled appointment, then deposit is transferable to the new date..

Initials* I agree to reimburse the The Studio for any attorneys' fees and costs incurred in any legal action I bring against the The Studio and in which either the Artist or the The Studio is the prevailing party. I agree that the courts located in the County of Tarrant within the State of Texas shall have jurisdiction and venue over me and shall have exclusive jurisdiction for the purposes of litigating any dispute arising out of or related to this agreement.

Initials*I, HEREBY ASSUME ALL RISK AND FULLY RELEASE, ACQUIT, REMISE, WAIVE ,COVENANT NOT TO SUE AND FOREVER DISCHARGE THE STUDIO, ITS PARENT, SUBSIDIARIES, AFFILIATES, OTHER RELATED ENTITIES, SUCCESSORS, OWNERS, MEMBERS, DIRECTORS, OFFICERS, SHAREHOLDERS, AGENTS, EMPLOYEES, SERVANTS, ASSIGNS, INVESTORS, LEGAL REPRESENTATIVES AND ALL INDIVIDUALS OR ENTITIES INVOLVED IN THEOPERATIONS OF THE STUDIO, OF AND FROM ANY AND ALL PAST, PRESENT AND FUTURECLAIMS ARISING FROM THEIR ACTS AND/OR OMISSIONS, INCLUDING BUT NOT LIMITED TO, DEMANDS, OBLIGATIONS, ACTIONS, CAUSES OF ACTION, RIGHTS, DAMAGES, COSTS, NEGLIGENCE CLAIMS, GROSS NEGLIGENCE CLAIMS, ASSAULT CLAIMS, DECEPTIVE TRADEPRACTICE CLAIMS, CONTRACT CLAIMS, INTENTIONAL INFLICTION OF EMOTIONAL DISTRESSCLAIMS, PERSONAL INJURY CLAIMS, PREMISES LIABILITY CLAIMS, PRINCIPAL-AGENT LIABILITYCLAIMS, MENTAL ANGUISH CLAIMS, PAIN AND SUFFERING CLAIMS, PHYSICAL IMPAIRMENTCLAIMS, DISFIGUREMENT CLAIMS, LOST WAGES CLAIMS, LOSS OF EARNING CAPACITYCLAIMS, WARRANTY CLAIMS, PUNITIVE DAMAGES CLAIMS, EXEMPLARY DAMAGES CLAIMS,AND ANY OTHER FORM OF COMPENSATORY CLAIMS OF ANY NATURE WHATSOEVER,WHETHER BASED ON A TORT, CONTRACT, OR OTHER THEORY OF RECOVERY, WHETHER SAMEBE KNOWN AND REALIZED OR UNKNOWN AND NOT REALIZED, THAT I, MY ASSIGNEES, HEIRS,DISTRIBUTES, GUARDIANS OR LEGAL REPRESENTATIVES NOW HAVE, HAVE HAD, OR EVER WILLHAVE; FOR INJURY, ILLNESS, DEATH, OR DAMAGE RESULTING FROM BEING TATTOOED, RECEIVING ANY OTHER SERVICE, FROM USING THE PREMISES OF THE THE STUDIO, AND FROM ANY OTHER ACTIVITIES OR SERVICES AND THE RISKS INVOLVED WITH SAME. THIS RELEASE IS INTENDED BY BOTH PARTIES TO BE AS BROAD IN ITS EFFECT AS ALLOWED BY LAW.