ACCOUNT_FIRST_NAMEACCOUNT_LAST_NAME

ACCOUNT_PHONE_NOACCOUNT_EMAIL

Tattoo Consent Form

 By signing this agreement, I, CLIENT_FIRSTNAME CLIENT_LASTNAME, acknowledge that the full opportunity has been given to me to ask all questions which I may encounter when deciding on whether having a tattoo on my body from the [Mr. / Ms. / Miss ] ACCOUNT_FIRST_NAME ACCOUNT_LAST_NAME (the "Tattooer"). The Tattooer has answered all my questions satisfactorily.

I hereby acknowledge that I have been advised of the risks and facts stated below and I agree with the statements: 

  1. I am not pregnant or nursing when I obtain this tattoo.
  2. I am not under the influence of alcohol or drugs.
  3. I do not have records of medical or skin conditions such as but not limited to Keloid (scarring), acne, psoriasis, etc. in the area to be tattooed.
  4. If there is any condition that might affect the healing of the tattoo, the Tattooer will be advised of it. I understand that the Tattooer will not be liable for any consequences of the tattoo if I did not disclose such information.
  5. I agree to accept the risk of allergic reaction to the pigments used in the tattoo process and the employee or owner of the tattoo shop may not possess the skills to determine the likelihood of such a situation.
  6. I acknowledge that the risk of infection during the healing process of the tattoo is always possible, especially when I am negligent in taking proper care of the tattoo. Sufficient instructions have been given by the tattoo shop for me to follow when taking care of my tattoo and any follow-up care due to my negligence will be conducted on my own. expense.
  7. I understand that there may be colour and design variations between my ideal tattoo and the product in the reality depending on my skin conditions. For example, the tattoo may not be as bright as I expected if it is applied to dark skin.
  8. I realise that any skin treatments afterwards may affect the condition of the tattoo.
  9. I declare that I have thought carefully before deciding to apply for this tattoo and understand that a tattoo is a permanent change in my appearance. If I decide to remove it later, I shall do it at my own expense.
  10. I acknowledge that there is a chance I might feel lightheaded, and dizzy during or after being tattooed. I agree to immediately notify the practitioner in the event I feel lightheaded, dizzy and/or faint before, during or after the procedure.

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