Blood Borne Pathogens: HBV , HIV , and HCV are all bloodborne pathogens transmitted through contact
with infected blood and/or bodily fluids. I understand that due to the nature of this cosmetic procedure, I
may be at risk. With proper PPE precautions made by your practitioner the risk has been significantly
minimized. In the event exposure has been evident during your procedure both practitioner and client
MUST pause the procedure and report to the emergency room for infection control and testing. If you are
a carrier of HBV , HIV , or HCV please notify your practitioner prior to your procedure.
Uneven Pigmentation: Uneven pigmentation can result from infection, poor healing, inability to follow
proper after care, pre existing skin conditions, or scar tissue. Results may vary during healing and
unevenness will be addressed during your follow up appointment.
Pain or Discomfort: Tattooing is the practice of implanting pigment into the skin to create art.. You may experience
minor discomfort or pain during this procedure and symptoms may linger even after the procedure is complete.
Infection: Infection is unusual for cosmetic tattoo procedures. Treated areas must be kept clean, only to use provided
aftercare, and use clean hands when touching the treatment area. It is imperative you follow your Artists aftercare
instructions for optimal results.
Pregnancy/BreastFeeding/IVF: Those who are pregnant, breastfeeding, or going through IVF treatments
are in no way permitted to undergo tattooing procedures. In good conscience, your artist will not tattoo
someone responsible for the physical health of a growing fetus/infant.
Under 18 years of age: It is unlawful in the state of New Jersey for those under the age of 18 years old to
undergo tattooing treatments. Reprisal reserves the right to refuse service to those under the age of 18 even
with presence or written consent of a legal guardian.
Liability Consent: I acknowledge that the artist is A non-physician, licensed and insured medical
micropigmentologist and hold harmless the artist from any and all claims damages or legal actions rising
from or connected in any way to my cosmetic tattooing treatment
Agreement of Financial Responsibilities I understand when booking my appointment I have agreed to the
Terms and Conditions of Reprisal including the late, no show, and late cancellation policies and accept full
responsibility for the penalties that may occur if I should breach the Terms and Conditions of my
appointment(s).
I understand there is a NO REFUND policy for cosmetic tattoo services and if for any reason,
my pigment does not stay or needs more touch ups I agree to contact Avery Isernia for further
discussions on additional applications. However, I am fully aware refunds will not be received.