I acknowledge that by submitting my consent form that I have been given the full opportunity to ask any and all questions which I might have about the obtaining of a tattoo/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:

 

• If I have diabetes, epilepsy, hepatitis, hemophilia, HIV-AIDS or any other communicable disease, heart condition or take medicine which thins the blood I have advised my artist.  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/pierced that may interfere with said tattoo/piercing.

 

• 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/metal or processes used in my tattoo/piercing, 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/piercing, particularly in the event that I do not take proper care of my tattoo/piercing.  I have received aftercare instructions and I agree to follow them while my tattoo/piercing 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/piercing 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/pirecing.  To my knowledge, I do not have a 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/piercing. 

 

• I acknowledge I am over the age of eighteen and that I have truthfully represented to my artist that the obtaining of a tattoo/piercing is by my choice alone.  I consent to the application of the tattoo/piercing and to any actions or conduct of the representatives and employees of the tattoo/piercing shop reasonably necessary to perform the tattoo/piercing procedure.

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• I hereby give my consent to use my photographs.

 

I fully understand THE TATTOO ARTIST DOES NOT ACT AS A MEDICAL PROFESSIONAL.  Any suggestions made to me are NOT to be construed as or substituted for advice from a medical professional.