Name *

First Name

Last Name

Phone *

(###)

###

####

MEDICAL INFO* *

If any of the conditions listed below apply to me, I will inform the Artist and Twin Suns Tattoo prior to the application of my tattoo, including: diabetes, epilepsy, hepatitis, hemophilia, HIV-AIDS, tuberculosis, or any other communicable disease, a heart condition, or take medication which thins the blood. I am not pregnant or nursing. I am not under the influence of drugs or alcohol. I do not have medical or skin conditions such as (but not limited to) acne, scarring (keloids), eczema, psoriasis, freckles, moles, or sunburn in the area to be tattooed that may interfere with said tattoo.

Fading* Variations in color/design may exist between the art I have selected and the actual tattoo. I also understand that over time, the colors and the clarity of my tattoo will fade due to natural dispersion of pigment under the skin

Spelling* Neither the Artist nor Twin Suns Tattoo is responsible for the meaning or spelling of the symbol or text that I have provided to them or chosen from the flash (design) sheets.

Permanent A tattoo is a permanent change to my appearance and can only be removed by laser or surgical means, which can be disfiguring and/or costly and which in all likelihood will not result in the restoration of my skin.

The Artist and Twin Suns Tattoo have given me instructions on the care of my tattoo while it's healing, and I understand them and will follow them. Iacknowledge that it is possible that the tattoo can become infected, particularlyifIdonotfollowtheaftercareinstructionsgiventome.Ifanytouch-upworktothetattooisneededdueto my own negligence, Iagree that the work will be done at my own expense.

I acknowledge that I have been given adequate opportunity to read and understand this document, that any and all of my questions have been answered, that it was not presented to me at the last minute, and I understand that I am signing alegal contract waiving certain rights to recover against the Artist and Twin Suns Tattoo.

I release all rights to any photographs taken of me and the tattoo and give consent in advance to their reproduction in print or electronic form. (If you do not tick this provision, please advise your Artist).

RISKS* *

That I have been fully informed of the inherent 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 detecting melanoma, and allergic reactions to tattoo pigment, latex gloves, and/or soap. Having been informed of the potential risks, I still wish to proceed with the tattoo application and I freely accept and expressly assume any and all risks.

WAIVE AND RELEASE* *

To the fullest extent permitted by law each of the Artist and Twin Suns Tattoo from all liability whatsoever, for 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 my tattoo, whether caused by the negligence or fault of either the Artist or Twin Suns Tattoo, or otherwise.

How'd ya hear about us *

return client

google ad

google search

friend

walked by

instagram

other