I acknowledge by signing this agreement that I have been given the full opportunity to ask any and all questions which I might have about the obtaining of a piercing and that all of my questions have been answered to my full satisfaction. I specifically acknowledge I have been advised of the facts and matters set forth below and I agree as follows:
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If I have diabetes, epilepsy, hepatitis, hemophilia, HIV-AIDS, or any other communicable disease, heart condition or take medicine which thins blood I have adviced my tattooist. I am not pregnant or nursing. I am not under the influence of alcohol or drugs.
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I do not have medical or skin conditions such as but not limited to: acne, scarring (Keloid), Eczema, psoriasis, rash, infection, Lesion, freckles, moles or sunburn in the area to be tattooed that may interfere with said tattoo. If I have any type of infection, rash, or lesion anywhere on my body, I will advise my piercer.
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I acknowledge it is not reasonably possible for the representatives and employees of this tattoo shop to determine whether I might have an allergic reaction to the pigments or processes used in my piercing, and I agree to accept the risk that such a reaction is possible.
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I acknowledge that infection is always possible as a result of the obtaining of a piercing, particularly in the event that I do not take proper care of my piercing. I have received aftercare instructions and i agree to follow them while my tattoo is healing. I agree that any touch-up work needed, due to my own negligence or failure to follow such instructions, will be done at my own expense.
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I realize that variations in color and design may exist between any tattoo as selected by me and as ultimately applied to my body. I understand that if my skin color is dark, the colors will not appear as bright as they do on light skin.
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I understand that if I have any skin treatments, laser hair removal, plastic surgery or other skin altering procedures, it may result in adverse changes to my piercing.
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I acknowledge I am over the age of consent and that I have truthfully represented to my tattooist that the obtaining of a piercing is by my choice alone. I consent to the application of the tattoo and to any actions or conduct of the representatives and employees of the tattoo shop reasonably necessary to perform the tattoo procedure.
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I understand that Make it Sick Ink Syndicate, Inc. reserves all rights to use any photos of my piercing or tattoo taken.
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Therefore, I request the piercer pierce my
I understand this type of piercing usually takes or longer to heal. I hereby release and forever discharge and hold harmless Make it Sick Ink Syndicate and the Tattooist and all affiliates, Owners, Managers and Employees from any and all claims, damages or legal actions arising from or connected in any way with my piercing, or the procedure and conduct used in my performing my piercing, to the fullest extent allowed by the law.
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By signing below, I, ,or their legal guardian, agree that I have read the Tattoo release form provided by Make it Sick Ink Syndicate, INC. and agree to its terms.
