Hammerhead Tattoo

I acknowledge by signing this release form that I have been given the full opportunity to ask any and all questions I might have about obtaining a tattoo.

I acknowledge that all my questions have been answered to my full and total satisfaction. I specifically acknowledge that I have been advised of the facts and matters set forth below and I agree as follows:

 

• I acknowledge that I am not under the influence of alcohol or drugs.

• I acknowledge that I do not have acne, freckles, moles, or sunburn in the area to be tattooed that might be irritated by the tattoo process [healing excluded].

• I acknowledge that I have looked over my design, checked the spelling [if applicable], and give my full consent to the application of my tattoo.

• I acknowledge that I am not pregnant.

• I acknowledge that I am free from communicable diseases.

• I acknowledge that I have truthfully represented to the associates, agents, and representatives of Hammerhead Tattoo LLC that I am over eighteen [18] years of age.

• I acknowledge that it is not reasonably possible for the associates, agents, and representatives of Hammerhead Tattoo LLC to determine whether I might have an allergic reaction to the dyes, pigments, or processes used in my tattoo and I agree to accept that such risks are possible.

• I acknowledge that infection is always possible as a result of obtaining a tattoo, particularly in the event that I do not take proper care of my tattoo, and I have been advised of the signs and symptoms of infection that indicate a need to seek medical attention.

• I acknowledge receipt of written instructions advising me of proper care of my tattoo and recognize the absolute necessity of following those written instructions. All questions about the body art procedure have been answered to my satisfaction.

• I acknowledge that variations in color and design may exist between any tattoos as selected by me and as ultimately applied to my body.

• I acknowledge that tattooing is a permanent change to my appearance and that no representations have been made to me as to the ability to later change, alter, or remove my tattoo.

• I acknowledge that the obtaining of my tattoo is my choice alone and I consent to the application of the tattoo and to any actions or conduct of the associates, agents, or representatives of Hammerhead Tattoo LLC that are reasonable and necessary to perform the tattoo procedure.

• I agree to release and forever discharge and forever hold harmless Hammerhead Tattoo LLC and its associates, agents, and representatives from any and all claims, damages, or legal actions arising from or connected in any way with my tattoo or the procedures and conduct used to apply my tattoo and any and all tattoos applied by Hammerhead Tattoo LLC and its associates, agents, and representatives in the future.

• I acknowledge that tattoo inks, dyes, and pigments have not been approved by the federal Food and Drug Administration and the health consequences of using these products are unknown.

• I acknowledge that there is a chance I might feel lightheaded/dizzy during or after being tattooed. I agree to immediately notify the artist in the event I feel lightheaded/dizzy and/or faint before, during, or after the procedure.

• I agree to follow all instructions concerning the care of my tattoo and that any touch-ups needed because of my own negligence will be done at my own expense.

 

I have been fully informed of the risks of tattooing including but not limited to infection, scarring, difficulties in detecting melanoma, and allergic reactions to tattoo pigment, latex gloves, and antibiotics. Having been informed of the potential risks associated with getting a tattoo, I still wish to proceed with the tattoo.

By filling out this agreement I grant permission for my photos to be taken on today’s date.

• I understand that photographs taken of me during this session may be used, wholly or in part, on the internet, in any publication, portfolio, or display, or in any other print or electronic medium as this artist chooses, unless otherwise specified below.
• I confirm I am 18 years of age or older. I will make no monetary or other claim against this artist for use of the photographs. I understand that my name may or may not be included/credited in any form of publication unless requested otherwise.