Tattoo Piercing Release

    

TATTOO AND PIERCING RELEASE

I, {Name}, hereby verify that the following statements are all true and factual to the best of my knowledge concerning {Tattoo Parlor Name}.

• I have been informed of the inherent risks associated with receiving a tattoo. I understand that this is an invasive procedure that can result in infection, scarring, and allergic reactions to the ink, needle, latex gloves, soap, and treatment substances. I accept these risks and maintain my desire to receive the tattoo/piercing. I release {Tattoo Parlor Name} from all legal repercussions; I will not sue, defame, or charge the company or representatives for damages or injuries.
• I have been informed on the correct way to treat and clean my tattoo/piercing. I understand that lax, inconsistent, or incorrect cleaning of my tattoo/piercing can lead to infection.
• I confirm that I do not have epilepsy, a heart condition, diabetes, or hemophilia. I also verify that I am not currently pregnant, nor am I taking drugs, alcohol, or blood-thinning medication. If I am scheduled to have, or have recently had any surgeries or invasive procedures, I verify that I have spoken with my doctor and received authorization to receive this tattoo/piercing.
• I understand that tattoos are permanent and cannot be removed without surgery from a qualified professional. I further understand that tattoos are subject to change over the years and can vary in color, tone, and clarity of pigment.
• I am 18 years old, or I am accompanied by a legal guardian. I am requesting the tattoo/piercing of my own accord, and am not under coercion or duress.
• The tattoo that I choose, whether it's an original design or from the flash sheet, is my responsibility. I understand that the tattoo artist holds no accountability for spelling errors or other design flaws. Any changes or additions will be provided at my own expense.

(Signature)

(DOB)

(Legal Guardian Signature)

(Date)

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