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January 16, 2024

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Tattoo Waiver Release

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___THE ARTIST HAS GIVEN ME the full opportunity to ask any and all questions about the application of my tattoo procedure and all of my questions have been answered to my total satisfaction. I do not have risk factors for BLOODBORNE PATHOGEN EXPOSURE.

____THE ARTIST WILL PROVIDE INSTRUCTIONS on the CARE of my tattoo while it’s healing, and I understand them 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. I agree that it is my responsibility to contact the Artist if there are signs and symbols of infection, including, but not limited to, redness, swelling, tenderness of the procedure site(area), red streaks going from the procedure site(area) towards the heart, elevated body temperature, or purulent drainage from the procedure site. 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.

___I AM NOT UNDER THE INFLUENCE OF ALCOHOL OR DRUGS, I am voluntarily submitting to be tattooed by the
Artist without duress or coercion. I am not pregnant or nursing

___I DO NOT HAVE DIABETES, EPILEPSY, HEMOPHILIA, HERPES (or a history of herpes infection at the proposed procedure site), a HEART CONDITION, nor do I take BLOOD THINNING MEDICATION. I do not have any other medical or skin condition that may interfere with the application or healing of the tattoo. 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 that may interfere with said tattoo. If I have any type of infection or rash anywhere on my body, I will advise the Artist.

____I AM NOT A RECIPIENT of an ORGAN OR BONE MARROW TRANSPLANT or, if I am, I have taken the prescribed preventive regimen of antibiotics that is required by my doctor in advance of any invasive procedure such as tattooing or piercing.

____I DO NOT HAVE MENTAL IMPAIRMENT that may affect my judgment in getting the tattoo.

____I DO NOT HAVE ALLERGIC REACTIONS TO LATEX. I UNDERSTAND RISKS OF BLOODBORNE PATHOGEN EXPOSURE. 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.

***WARNINGS: Persons who may be immunocompromised (included but not limited to those with END STAGE RENAL DISEASE, DIABETES OR
HIV INFECTIONS ) should consult their personal physician prior to being tattooed or pierced. Persons with a pre-existing CARDIAC CONDITIONS, especially when piercing occurs on areas of the body involving the mucous membranes, may result in bacteria in the bloodstream which can further damage the heart, and that such persons should seek permission from their personal physician prior to receiving a tattoo.

NEITHER THE TATTOO ARTIST, STUDIO OR EVENT is responsible for the meaning or spelling of the symbol or text that I have provided to them, chosen from the design or drawn, designed by the artist by my direction.

____I REALIZED THE 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/skin.

____I also understand over time, the colors and the clarity of MY TATTOO WILL FADE DUE TO UNPROTECTED EXPOSURE TO THE SUN and NATURALLY OCCURRING DISPERSION OF PIGMENT UNDER THE SKIN.

____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.
https://www.hepmag.com/article/tattoo-hcv-25887-248384741