CONSENT TO TATTOO by an APPRENTICE
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 tattoo 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:
If I have I have any condition that might affect the healing of this tattoo, I will inform my tattooer. I
am not pregnant or nursing. I am not under the influence of alcohol or drugs.
I do not have medical or skin conditions such as but not limited to: acne, scarring (Keloid) eczema,
psoriasis, freckles, moles or sunburn in the area to be tattooed that may interfere with said tattoo. I I
have any infection or visible rash anywhere on my body, I have advised my tattooer.
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 tattoo,
and I agree to accept the risk that such a reaction is possible.
I acknowledge that infection is always possible as a result of the obtaining of a tattoo, particularly in
the event that I do not take proper care of my tattoo. 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, will be done at my own expense.
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.
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 tattoo.
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. To my knowledge, I do not
have any physical, mental or medical impairment or disability which might affect my well being as a
direct or indirect result of my decision to have a tattoo.
I acknowledge I am over the age of eighteen and I have truthfully represented that the obtaining of a
tattoo is 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 necessary to perform the tattoo procedure.
I understand I am being tattooed by an apprentice.