Welcome to Paradise Montreal

Your Information

Full name

Date of birth

Phone number

Email

Medical Information

Pre-Procedure Questionnaire

	YES	NO
Are you pregnant or nursing?
Are you under the influence of drugs and/or alcohol?
Are you taking any prescription narcotics?
Do you suffer from heart conditions and/or blood-thinning disorders such as hemophilia?
Do you have epilepsy, diabetes or anemia?
Do you have allergies to metals, medications, etc?
Do you have a phobia of needles and/or blood?
Did you take blood thinning medications (ex: aspirin) in the last 24 hours?
Did you ever have a negative tattoo experience in the past?
Do you have a tendency to faint?

If you selected YES to any of the previous questions, you commit to informing your piercer as such

I commit

Release of all claims

I have read and acknowledged the following statement

I have been given the opportunity to ask any and all questions which I might have about getting a tattoo from Paradise Tattoo & Piercing, and they have been answered to my total satisfaction ;

I voluntarily agree to the tattoo procedure and I am fully aware that it is a permanent change to my appearance. I understand that the skin can't be later restored to its pre-tattoo condition ;

Paradise follows a safe and hygienic tattoo procedure. However, I understand that getting a tattoo, despite Paradise’s best efforts, is a procedure that carries some risks that are out of my tattoo artist's control. These risks include but are not limited to : allergic reaction, inflammation, scarring, infection, fainting and others ;

I understand that it is my responsibility to follow all aftercare instructions while my tattoo is healing. Complete tattoo aftercare instructions have been explained to me ;

I have truthfully represented to my tattoo artist that I am 18 or over. If I am under 18, I have a parent and/or legal guardian with me for approval and signature ;

I have attentively read this statement and I have truthfully answered to all questions of the waiver. Therefore, I authorize the tattoo artist to tattoo me and I waive any legal action related to my tattoo against them as well as against any other Paradise's employee.

Signature

Draw your signature here