Jettdoestattoos Consent/Waiver form
If you have questions regarding accessibility, policies, pricing etc., please feel free to contact me through Instagram DM @jettdoestattoos
Name
*
First Name
Last Name
Age
*
If you are a legal guardian consenting, please have your contact information inputted and write signature at the bottom of waiver
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Have you been tattooed before?
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Yes
No
Do you have an understanding of the tattoo after-care?
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Yes
No
Are you pregnant or breast-feeding?
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Yes
No
Are you under the influence of drugs and/or alcohol?
*
Yes
No
Do you have a heart condition?
*
Yes
No
Do you have diabetes?
*
Yes
No
Do you have a tendency of fainting?
*
Yes
No
Do you have a communicable disease? Please write it down in the third option if you have any
*
Yes
No
Other
Do you have any allergies? Please write it down in the third option if you have any
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No
Other
I have been fully informed of the inherent risks associated with the process of getting a tattoo and the importance of proper aftercare and healing of a tattoo. I fully understand that these risks, known and unknown, can lead to injury; including but not limited to scarring, infection, difficulties in detecting melanoma, allergic reactions to tattoo pigment, and/or soap. I also state that I have not excluded any important health conditions that I have had or may have. I have been informed of the potential risks associated with getting a tattoo, yet I wish to proceed with the tattoo application and I freely accept and assume any and all risks that may arise from tattooing. Therefore, I hereby release any and all persons representing jettdoestattoos from all responsibility. I accept any and all responsibility myself for the consequences that might stem from my decision to have any tattoo done by jettdoestattoos. I agree to not hold jettdoestattoos accountable for damages from my decision to have any tattoo work. I agree for myself, heirs and legal representatives to hold jettdoestattoos harmless of all damages, actions, causes of action, claim judgements, costs of litigation, attorney's fees and all other expenses which might arise from my decision to have any tattoo related work done by jettdoestattoos. I acknowledge that by signing this agreement, I certify that all information provided is true.
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Signature
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