Tattoo Consent Form

Tattoo Consent Form

Tattoo Artist: Bee Cooper
Name

Legal First NameLegal Last Name
Preferred Name
(If Applicable)
Pronouns
(They/Them/Theirs)
DOB

MonthDayYear
Date Of Birth
Email
example@example.com
Phone Number
Please enter a valid phone numberFormat: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone numberFormat: (000) 000-0000.
I acknowledge I am over the age of eighteen and that I have truthfully represented to my tattooer that the obtaining of a tattoo is by my choice alone. I consent to the application of the tattoo. My tattoo artist and I recognize that I may revoke this consent at any time before or during the tattoo procedure.
I agree that I have been fully informed of the inherent risks associated with the procedure and application of getting a tattoo. 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, ointment, and/or soap. Having been informed of the potential risks associated with getting a tattoo I wish to proceed with the tattoo procedure and application. I freely accept and expressly assume any and all risks that may arise from tattooing.
I waive and release to the fullest extent permitted by law any and all persons of Humble Honey Bee Tattoos LLC and those associated 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, whether caused by the negligence or fault of either Humble Honey Bee Tattoos LLC, and/or any persons associated.
I agree that Humble Honey Bee Tattoos LLC has a NO REFUND policy on tattoos and/or retail sales and I will not ask for a refund for any reason whatsoever.
I understand that 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 clarity of my tattoo will fade due to unprotected exposure to the sun and the naturally occurring dispersion of pigment under the skin. I understand that if I have any skin treatments, laser hair removal, cosmetic surgery or other skin altering procedures, it may result in changes to my tattoo.
I understand that a tattoo is a permanent change to my appearance and can only be removed by laser or surgical means, which can be disfiguring, costly, and which in all likelihood will not result in the restoration of my skin to its exact appearance before being tattooed. I do not hold Humble Honey Bee Tattoos LLC and/or those associated liable for or of the ability to later change or remove my tattoo.
Humble Honey Bee Tattoos LLC has given me instructions on the care of my tattoo while it’s healing. I understand and will follow them. I acknowledge that it is possible that the tattoo can become infected, particularly if I do not follow instructions given to me. If any touch-up work to the tattoo is needed due to my own negligence, I agree that the work will be done at my own expense.
I acknowledge that if my tattoo includes text that I am responsible for the correct spelling, grammar and punctuation. I acknowledge that if my tattoo is a symbol, or text in any language that Humble Honey Bee Tattoos LLC and those associated are not responsible for what it may or may not mean. I agree that the tattoo design is correctly drawn to my specifications and I agree to allow for artist interpretation of the image.
I am NOT under the influence of drugs, alcohol, or any narcotic, including but not limited to prescription pharmaceuticals, & over the counter medications. I am aware that being under the influence can have an adverse effect on the procedure.
I am NOT pregnant or breastfeeding.
I agree to immediately notify my tattooer if I feel lightheaded, dizzy and/or faint before, during or after the procedure. Failure to do so releases Humble Honey Bee Tattoos LLC and those associated of all legal or otherwise responsibility.
I agree that Humble Honey Bee Tattoos LLC or anyone associated cannot determine if I will have an allergic reaction to any of the products used to complete my procedure. I fully understand that the tattoo artist does not act as a medical professional.
I do NOT have any medical conditions, known allergies, or communicable diseases. IF YES, I have notified the artist and listed them below:

Other
I release the right to any photos and videos taken of me and the tattoo and give consent in advance to their reproduction in print or electronic form. (For assurance, if you do not agree to this provision, please inform the artist NOT to take any photos of you and your completed tattoo)
I acknowledge that I have been given adequate opportunity to read and understand this document, that it was not presented to me at the last minute and understand that I am signing a legal contract waiving certain rights to recover damages against HumbleHoney Bee Tattoos LLC and those associated. I agree to release and discharge Humble Honey Bee Tattoos LLC and those associated from any and all claims, damages, or legal actions arising from or connected to my tattoo and the procedure used in the application of my tattoo.
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. By typing my name below, I acknowledge that this electronic entry serves as my legal signature, affirming that I have read, understood, and agree to the terms and conditions outlined in this consent form.
Electronic Signature
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.
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Tattoo Consent Form

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