DENVER ANIME INVITATIONAL TATTOO AND CULTURE FESTIVAL (DAI-CON)
CONSENT TO TATTOO/BODY MODIFICATION PROCEDURE
ARTIST SECTION
ARTIST NAME:
*
BOOTH:
*
BODY MOD LOCATION (ON BODY):
*
TATTOO OR PIERCING
INK MANUFACTURER:
Have your artist fill this out BEFORE you submit!
LOT NUMBER OF INK:
Have your artist fill this out BEFORE you submit!
PIERCER SECTION
STERILIZATION DATE ON IMPLEMENTS USED DURING PROCEDURE:
Have your piercer fill this out BEFORE you submit!
LOT NUMBER OF IMPLEMENTS:
Have your piercer fill this out BEFORE you submit!
CLIENT SECTION
NAME:
*
APPOINTMENT DATE:
*
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Month
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Day
Year
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DATE OF BIRTH:
*
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Month
-
Day
Year
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LICENSE/ID #:
*
ADDRESS:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
PHONE NUMBER:
*
Phone #
Format: (000) 000-0000.
EMAIL:
*
example@example.com
LIST ALL ALLERGIES:
*
IF NONE, PUT 'N/A'
I acknowledge by signing this agreement that I have been given full opportunity to ask questions which I might have about the obtaining of a tattoo or piercing and that all my questions have been answered to my full satisfaction. I also acknowledge that I have been advised of the facts and potential risks of body modification, and I fully understand and agree to the following:
*
I am over the age of 18.
I am not pregnant or nursing.
I am not under the influence of drugs or alcohol.
I do not have any medical or skin condition such as (but not limited to) acne, scarring (keloid), eczema, psoriasis freckles, moles, any other skin condition or lesion, or sunburn in the area that will be modified that might interfere with the requested procedure.
I acknowledge it is not reasonably possible for any Artist to determine whether I may have an allergic response or reaction to the needles or pigments used during my body modification, and agree to accept the potential risk that such a reaction might be possible.
I acknowledge that infection is always a possibility with any body modification, particularly in the event that I do not follow proper aftercare procedures (see below).
I realize that variations in color and design may occur in any tattoo design as selected and agreed upon when it is applied to living skin. I understand that differentiation in skin tone will likely change the appearance of colors and shading from a design image, but that the artist will strive to achieve all expectations to the best of their abilities
I understand that if I have any skin treatments, laser hair removal, plastic or corrective surgery, or any other skin-altering procedures, adverse effects to my modification may occur.
I acknowledge that a tattoo is a permanent change to my appearance, and that no representations have been made nor implied to me as to the success of a future change or removal of my tattoo. To my knowledge, I do not have a physical, mental, or emotional impairment or disability that might affect my well-being, directly or indirectly, as a result of my decision to have this body modification procedure.
I do not have a neurological or immuno-compromised condition or disorder, including but not limited to diabetes, hemophilia, a history of epilepsy/seizures/fainting/narcolepsy.
If I have any condition that might affect the healing of this modification, I will advise my artist. This includes allergies or adverse reactions to anticoagulants or NSAIDs and/or certain types of disinfectants.
I have received aftercare instructions from my artist, and I agree to follow them while my tattoo or piercing is healing. I agree that any follow-up or touch-up work that may be needed due to my own negligence will be at my own expense.
I have truthfully represented to my artist that the obtaining of this body modification is by my choice alone. I consent to this procedure of my own free will.
SIGNATURE:
*
PRINTED NAME:
*
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AFTERCARE ACKNOWLEDGMENT
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GENERAL AFTERCARE FOR YOUR TATTOO OR BODY MODIFICATION
Each artist will have their preferred method of aftercare and recommendations for you, but here are the universal rules.
PLEASE READ CAREFULLY AND SIGN AT THE BOTTOM
ARTIST NAME:
*
ARTIST EMAIL:
*
example@example.com
If you are wearing a bandage or synthetic skin, remove it CAREFULLY in the way and at the time your artist recommends.
Before you do your initial wash, make sure to wash your hands thoroughly.
Gently clean your modification with lukewarm water and an unscented antibacterial soap.
Gently PAT your body modification dry, DO NOT RUB IT.
If your artist recommends an ointment, apply only a very thin layer to keep it moisturized, but still able to breathe.
Repeat this process at least two to three times daily.
After a few days of initial healing, your artist may recommend switching to a lotion; make certain you use a gentle, unscented, alcohol-free lotion if this is the case.
If your body modification scabs, DO NOT PICK OR SCRATCH AT IT. Do not remove large portions of skin.
Avoid baths, showering is recommended. Avoid chlorinated or chemically-blended swimming or soaking in hot tubs or pools for at least the first two to three weeks.
Pay attention to your clothing and hairstyles if they will in any way affect the modified area of your body. Healing always goes better when you are comfortable.
Avoid sun exposure. 99% of sunscreens will have ill effects on a tattoo.
Keep your skin and YOURSELF hydrated, above all else.
IF AT ANY TIME YOU NOTICE EXTREME SWELLING, REDNESS, PUS, OR HAVE A FEVER, IMMEDIATELY CONSULT YOUR ARTIST. IF THEY ARE UNAVAILABLE, YOU SHOULD CONTACT YOUR PRIMARY HEALTH PROVIDER'S
OFFICE WITH YOUR CONCERNS.
I hereby acknowledge that I have read and understand these Aftercare Recommendations
SIGNATURE:
PRINTED NAME:
*
DATE:
*
/
Month
/
Day
Year
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