• Consent Form

    Please complete your name and review the consent, waiver, and acknowledgment information below before Buildproceeding.
  • Waiver and Release of Liability: I hereby waive and release, to the fullest extent permitted by law, Lux Studios, its owners, employees, agents, and representatives from any and all liability, claims, demands, or causes of action whatsoever, including but not limited to personal injury, property damage, or other damages, whether direct or consequential, that may arise from the tattoo procedure or application. This release applies regardless of whether such damages are caused by negligence or any other fault of Lux Studios or its representatives.
    Informed Consent and Acknowledgment of Risks: I acknowledge that I have been fully informed of the inherent risks associated with receiving a tattoo, including but not limited to infection, scarring, difficulty in detecting melanoma, and allergic reactions to tattoo pigments, adhesives, latex gloves, creams, and/or soaps. Having been informed of these potential risks, I voluntarily choose to proceed with the tattoo procedure and assume all risks that may arise from the tattooing process.
    Questions and Aftercare Instructions: Lux Studios has given me the opportunity to ask questions regarding the tattoo procedure and application, and all of my questions have been answered to my full satisfaction. I have received clear instructions on how to care for my tattoo during the healing process, and I understand that failure to follow these instructions may result in infection or other complications. I acknowledge that any necessary touch-up work resulting from my negligence will be performed at my own expense.
    Health Declaration: I certify that I am not under the influence of drugs or alcohol and that I am voluntarily consenting to be tattooed by Lux Studios without duress or coercion. I do not suffer from diabetes, epilepsy, hemophilia, heart conditions, or any other medical or skin condition that may interfere with the tattoo procedure, application, or healing process, and I am not currently taking blood thinning medication. If I am a recipient of an organ or bone marrow transplant, I confirm that I have taken the prescribed preventative antibiotic regimen as advised by my physician prior to this procedure. I confirm that I am not pregnant or nursing, and that I do not have any mental impairments that may affect my judgment regarding this tattoo.
    Tattoo Details and Client Responsibility: Lux Studios is not responsible for the meaning, spelling, or accuracy of any symbols, dates, or text that I have provided or selected from flash sheets. It is my sole responsibility to verify all such details prior to the tattoo procedure. I confirm that the area to be tattooed does not have any skin conditions such as acne, scarring, sunburn, eczema, freckles, or moles that could interfere with the tattoo application. I confirm that the skin in the placement area is healthy and free of active conditions (such as sunburn, acne, or eczema), severe scarring, or raised skin lesions that could interfere with the tattooing process or healing. I understand that colors and design may vary between the selected image and the final tattoo, and that skin tone may affect the brightness and appearance of colors. I acknowledge that a tattoo is a permanent alteration to my appearance and that no guarantees have been made regarding the ability to remove or alter the tattoo in the future. I affirm that I am over eighteen years of age and that my decision to obtain this tattoo is made freely and voluntarily. I understand that the tattoo artist is not a medical professional and that any advice provided is not a substitute for medical consultation.
    Disclosure of allergies, bloodborne illnesses, etc: I understand it is my responsibility to disclose any allergies, sensitivities, skin conditions, diabetes, etc. to my artist directly.
     
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  • Acknowledgment*
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