Radiant Energy-First Visit (+COVID)

Radiant Energy Tattoo

Release & Aftercare Forms-First Visit
I acknowledge that by signing this consent and release form that I have been given full opportunity to ask any and all questions which I might have about obtaining and caring for a tattoo. I also acknowledge that all of my questions have been answered to my full satisfaction and that I am getting tattooed by my choice and at my own risk. I specifically acknowledge that I have been advised of the facts and matters set forth below, and agree as follows:
Release Form

Consent to tattoo application, waiver, and general release of all claims
Enter your email to receive of this release form and aftercare information. If you don't want to provide your email, or you don't have an email, do not fill out this electronic release form. You must complete this release form in paper form only.*
Please enter your initials in this box. They will automatically populate into each provision. You must agree to each provision of this form. Please read each provision carefully; your initials signify that you understand each item and it is truthful.*
I acknowledge that I have represented to the employees, representatives, agents of Radiant Energy LLC that I am eighteen (18) years of age or older.*
I acknowledge that I am not pregnant.*
I acknowledge that I am free of communicable diseases.*
I acknowledge that it is not reasonably possible for the representatives and employees of Radiant Energy LLC to determine whether I might have an allergic reaction to the dyes, pigments, and/or process used in my tattoo, and I agree to accept the risk that such a reaction is possible.*
I acknowledge receipt of written instructions advising me on the proper care of my tattoo and I recognize the absolute necessity for following these instructions.*
I acknowledge that variations in color and design may exist between my tattoo as selected by me and the tattoo that is ultimately applied to my body. *
I acknowledge that a tattoo is a permanent change to my appearance and that no representations have been made to me as to the ability to later change or remove my tattoo. *
I acknowledge that it is my sole responsibility to be aware of my design and its accuracy and or meaning. Radiant Energy LLC and its employees and representatives are not responsible for the definition and/or meaning of your design.*
I acknowledge that the obtaining of my tattoo is by my choice alone and I consent to the application of the tattoo and to any action of conduct of the employees of Radiant Energy LLC reasonably necessary to perform the tattoo procedure.*
I agree to release and forever discharge and hold harmless Radiant Energy LLC and its agents, employees, and officers from any and all claims, damages, or legal actions arising from, or in any way connected to, my tattoo or the procedures and conduct used to apply my tattoo.*
I acknowledge that I am not a hemophiliac.*
I acknowledge that I am not under the influence of drugs or alcohol.*
I understand that my tattoo is considered all sales final, and no refunds are given.*
Are you diabetic? Tap the drop-down menu and choose YES or NO. If YES, you understand Radiant Energy Tattoo will not tattoo you below your waist.*
If you have any allergies, specific skin conditions, medical conditions, or medications that could affect the tattoo procedure and/or healing process, please list them below and inform your artist of these conditions before your tattoo. If you don't have any conditions, write NONE. *
I agree to indemnify, defend, and hold harmless Radiant Energy Tattoo from and against any and all costs, expenses, damages, lawsuits, and/or liabilities or claims arising whether directly or indirectly from or related to any and all claims made by or against any of the released party due to injury, loss, or death from or related to COVID-19.*
I agree that if I contract COVID-19 within 30 days of my appointment, I will notify Radiant Energy Tattoo to comply with their tracing procedures in regards to COVID-19. *
Are you currently experiencing any other flu-like symptoms, such as gastrointestinal upset, headache, or fatigue?*

YesNo
Are you over 60?*

YesNo
Do you have heart disease, lung disease, kidney disease, or any auto-immune disorder?*

YesNo
Name*

First NameLast Name
Personal Information
Have a preferred pronoun? Enter it here
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Date Of Birth*

MonthDayYear
Phone Number*
Artist
Enter a brief description of the design and placement of today's tattoo session*
Emergency Contact*

First NameLast Name
Emergency Contact Phone Number*

Area CodePhone Number
Optional: If you were referred by someone, please enter their name here
Would you like to signup for our email newsletter?*

YesNo
If you would like to be tagged on Instagram, please enter your handle here:
Please upload a photo of your ID using your device's camera.*

Upload a File
Upload a clear, will photo of your ID. ID can be a driver's license/ID card or passport, or official/gov't ID with your photo and birthdate. ***Expired IDs and/or IDs without a birthday and photo on the same side are not valid and can't be accepted***. Do not upload a pic of your artwork. Cancelof
Aftercare

This information will be emailed to you if you entered your email above, and can be found in the attached PDF file. These instructions are also available on our website. If you'd like a paper copy, notify the receptionist.
Once you leave the shop, the healing of your tattoo is your responsibility. If you fail to abide by and/or deviate from these aftercare instructions, our touch-up policy will be considered null and void for your tattoo.

We offer one free touch-up within six months of completion of tattoo.
- FOR DRI-LOC OR TATTOO ARMOUR: Initial bandage on until tomorrow morning.
- When you take the bandage off, you will see ink and goo on the bandage. This is normal.
- Wash the tattoo with soap, water, and your fingertips.
- Pat and air dry.
- Massage in a small amount of A&D Ointment, Aquaphor, or Aquatat into the tattoo.
- Reapply a bandage if directed by artist, otherwise leave open.
- Do this for three to five days until the tattoo starts to flake like a sunburn.
- If you let the tattoo dry out, a scab will form and when this scab lifts it can pull color out with it.
- Once the tattoo flakes the ointment no longer does anything, so switch to a fragrance-free hand lotion.
- For the first two weeks avoid direct sunlight, and submerging in standing water such as: pools, hot tubs, lakes, rivers, baths, salt water, and chlorinated water.
- For long term care, put sun block on the tattoo when you go out into the sun.
- At first sign of infection, please consult a physician. Signs of infection after 48 hours include inflammation, swelling, heat coming from tattoo, discharge, odor, fever, red streaks, or swollen lymph nodes.
- FOR CLEAR BANDAGES: Leave on for 24 hours; it’s normal for blood/fluids to collect under bandage. Remove immediately if the seal becomes compromised. A second application can be used for several days, and a third if necessary. Clean tattooed area between applications, and do not use for more than one week. Remove bandage by pulling slowly from edge back over itself—do not pull upwards. Do not remove in the shower.
- For the first two weeks avoid direct sunlight, and submerging in standing water such as: pools, hot tubs, lakes, rivers, baths, salt water, and chlorinated water.
- For long term care, put sun block on the tattoo when you go out into the sun.
- At first sign of infection, please consult a physician. Signs of infection after 48 hours include inflammation, swelling, heat coming from tattoo, discharge, odor, fever, red streaks, or swollen lymph nodes.
If a touch-up appointment is necessary, the first touch up is free provided these instructions have been followed. If you need to reschedule, you can reschedule twice, and after two reschedules (or a no-show at any appointment) a reduced touch up rate of $100/hr will apply.
Session Date/Time
Signature*

Clear
When tapping submit, please allow a minute or two for your ID photo to upload and for the submission to complete.
I acknowledge that if I do not take proper care of my tattoo, practice good hygiene, or if I injure or disrupt the tattoo during the healing, that infection and/or scarring may occur.*
Should be Empty:

Radiant Energy Tattoo

Release Form

Personal Information

Aftercare