Vesperia Tattoo Waiver

Vesperia Tattoo Waiver

Please Fill Out for Every Tattoo Procedure
Name

First NameLast Name
Date Of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Choose Your Artist
Other Artist
Tattoo Design
Describe Your Tattoo
Tattoo Placement
Where is Your Tattoo Going?
Take a Picture of Your ID/ Driver’s License

Cancelof
Ink(s) Used (Refer to Artist)

Picture Must Have Expiration Dates in It
Cancelof
Needle(s) Used (Refer to Artist)

Picture Must Have Expiration Dates in It
Cancelof
Any Known Allergies (Pertaining to Your Tattoo)
Read and Check All Boxes

I, being of sound mind and body, hereby release any and all persons representing Vesperia Tattoo from all responsibility related to my request to have tattoo work done. I accept any and all responsibility myself for any consequences that might stem from my request to have tattoo related work done by the artist within Vesperia Tattoo. I agree not to sue the artist or Vesperia Tattoo in connection with any and all damages, claims, demands, rights, and causes of action, of whatever kind of nature, based upon injuries or property damage to myself or any persons arising from my decision to have tattoo related work done at this time, whether or not caused by any negligence of the artist. I agree for myself, my heirs, assigns, and legal representatives to hold the artist and Vesperia Tattoo harmless from all damages, actions, causes of action, claim judgments, or costs and expenses which might arise from my decision to have any tattoo related work done by the artist within Vesperia Tattoo.
All needles, tubes, and disposables are used once and then properly disposed of after each and every tattoo procedure. You are always welcome and encouraged to watch the needle(s) used on me be placed into a biohazard waste container for future disposal.
Today’s Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Signature
Should be Empty: