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Consent Form

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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 a physical, mental or medical impairment or disability which might affect my well-being as a direct or indirect result of my decision to obtain a tattoo/piercing.

I confirm I do not have any condition that could affect the healing of this tattoo/piercing such as diabetes, epilepsy, hepatitis, hemophilia, HIV/AIDS or any other communicable disease. I also confirm I am not, or could not possibly be, pregnant or nursing.

I am not under the influence of alcohol or drugs.

I do not have any medical or skin conditions such as but not limited to: acne, scaring (keloid), eczema, psoriasis, freckles, moles or sunburn in the area to be tattooed/pierced that may interfere with said body art. if have any type of infection or rash anywhere on my body, I will advise my artist.

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/piercing and I agree to accept the risk that such a reaction is possible.

I acknowledge that infection is always possible due to lack of proper care while my tattoo/piercing is in the healing process. I confirm that 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 will be done at my own expense.

I realize that variations in color and design may exist between any tattoo selected by me as what is ultimately applied to my body. I understand that if my skin color is darker, my tattoo may not appear as bright as it may on lighter skin.

I understand that if | have any skin treatments, laser hair removal, plastic surgery, and/or any other skin altering procedures, it may result in adverse changes to my tattoo/piercing.

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