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Lovecats Consent Form

Artist Name

A
B
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Client Information

Name

Birth Date

Phone Number

Email

Address

Pre-Procedure Questionnaire

I have been fully informed of the risks associated with getting a tattoo. I fully understand that these risks, known and unknown, can lead to injury including but not limited to: infection, scarring, difficulties in the detection of melanoma and allergic reactions to tattoo pigment, aftercare products and/or soap. Having been informed of the potential risks associated with getting a tattoo I wish to proceed with the tattoo procedure and application and freely accept and expressly assume any and all risks that may arise from tattooing.

A

I waive and release to the fullest extent permitted by law any person of the TattooStudio from all liability whatsoever, including but not limited to, any and all claims or causes of action that I, my estate, heirs, executors or assigns may have for personal injury or otherwise, including any direct and/or consequential damages, which result or arise from the procedure and application of my tattoo, whether caused by the negligence or fault of either the Tattoo Studio, or otherwise.

A

Lovecats Tattoo has given me the full opportunity to ask any question about the procedure and application of my tattoo and all of my questions have been answered to my satisfaction.

A

Lovecats Tattoo has given me instructions on the care of my tattoo while it's healing. I understand and will follow them. I acknowledge that it is possible that the tattoo can become infected, particularly if I do not follow the instructions given to me. If any touch-up work to the tattoo is needed due to my own negligence, I agree that the work will be done at my own expense.

A

I am not under the influence of alcohol or drugs, and I am voluntarily submitting to be tattooed by Lovecats Tattoo without duress or coercion.

A

I do not suffer from diabetes, epilepsy, hemophilia, heart condition(s), nor do I take blood thinning medication. I do not have any other medical or skin condition that may interfere with the procedure, application or healing of the tattoo. I am not the recipient of an organ or bone marrow transplant or, if I am, I have taken the prescribed preventative regimen of antibiotics that is required by my doctor in advance of any invasive procedure such as tattooing or piercing. I am not pregnant or nursing. I do not have a mental impairment that may affect my judgement in getting the tattoo

A

I am not allergic to lidocaine, and consent to the use of a lidocaine solution as a numbing agent during the application of my tattoo. If you are allergic to lidocaine or do not want it to be used, please inform your tattoo artist prior to beginning the procedure.

A

Lovecats Tattoo is not responsible for the meaning or spelling of the symbol or text that I have provide to them.

A

Variations in color and design may exist between the tattoo art I have selected and the actual tattoo when it is applied to my body. I also understand that over time, the colors and the clarity of my tattoo will fade due to unprotected exposure to the sun and the naturally occurring dispersion of pigment under the skin.

A

I release the right to any photographs taken of me and the tattoo and give consent in advance to their reproduction in print or electronic form. If the tattoo is in a sensitive area, the tattoo artist will provide pasties or coverings - or will not photograph the tattoo at all.

A

I acknowledge that I have been given adequate opportunity to read and understand this document that it was not presented to me at the last minute and grasp that I am signing a legal contract waiving certain rights to recover damages against Lovecats Tattoo.

A

I agree that the Tattoo Studio has a NO REFUND policy on tattoos, piercing and/or retail sales and I will not ask for a refund for any reason whatsoever.

A

I hereby declare that I am of legal age (and have provided valid proof of age and identification) and am competent to sign this Agreement.

A

Acknowledgment and Waiver

Signed Date

Upload a photo of the front of your ID

Signature

Signature