Consent To Tattoo By An Apprentice printable pdf download

CONSENT TO TATTOO by an APPRENTICE

NAME

DATE

DOB

ADDRESS

CITY

STATE

ZIP

HOME PH.

WORK PH.

DRIVERS LICENSE:

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

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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

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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

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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

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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

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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.

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CLIENT:

DATE

APPRENTICE:

DATE

Consent To Tattoo By An Apprentice

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