Preferred name: *
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Phone number: *
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Email: *
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Select Your Country: *
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Please list any medical conditions: *
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Your Tattoo Artist: *
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Please upload a picture of the front of your VALID ID (No selfies): *
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By checking this box I am aware that our staff have implemented preventative measures intended to reduce the spread of COVID-19. However, given the nature of the virus, I understand there may be an inherent risk of becoming infected with COVID-19 by proceeding with this service. I hereby acknowledge and assume the risk of becoming infected with COVID-19 through this elective service and give my express permission to you and the artists at your shop to proceed with providing a service. *
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By checking this box, I agree that if I have any condition that might affect the healing of this tattoo, I will advise my tattooer. I am not pregnant or nursing. I am not under the influence of alcohol or drugs. *
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By checking this box, I agree that 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 my tattooer. *
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By checking this box, I acknowledge it is not reasonably possible for the representatives and employees of this tattoo shop to determine whether I might have an allergic reaction to the pigments or processes used in my tattoo, and I agree to accept the risk that such a reaction is possible. *
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By checking this box, I acknowledge that infection is always possible as a result of the obtaining of a tattoo, particularly in the event that I do not take proper care of my tattoo. I have received aftercare instructions and I agree to follow them while my tattoo is healing. I agree that any touch-up work needed, due to my own negligence, will be done at my own expense. *
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By checking this box, 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. *
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By checking this box, I acknowledge that a tattoo is a permanent change to my appearance and that no representations have been made to me as to the ability to later change or remove my tattoo. 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. *
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By checking this box, I acknowledge that neither the tattoo artist, nor Spellcraft Tattoo LLC, is responsible for the meaning and/or spelling of the symbol or text that I have provided them or chosen for my tattoo. *
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By checking this box, I acknowledge I am over the age of eighteen and that I have truthfully represented to my tattooer that the obtaining of a tattoo is by my choice alone. I consent to the application of the tattoo and to any actions or conduct of the representatives and employees of the tattoo shop reasonably necessary to perform the tattoo procedure. *
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By checking this box, I acknowledge that I have been advised to properly cleanse the tattooed area, apply antibiotic ointment or cream, minimize sun exposure, use sterile bandages or sterile dressings when necessary and for at least 2 weeks to discourage swimming. *
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By checking this box, I agree that I will consult a health care practitioner at the first sign of infection or an allergic reaction and to report any diagnosed infection, allergic reaction, or adverse reaction resulting from the application of the tattoo to the artist and to the department at 1-888-839-6676. *
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By checking this box, I am aware that I get a 1 free touch up within 3 months. After 3 months, any touch-ups needed will be at your expense. *
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By checking this box, I agree that there are no refunds on any service provided. *
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By Signing this agreement, I represent and warrant that I have carefully read and fully understand this Agreement and its final binding effect, that I have been advised to and afforded sufficient time and opportunity to review this Agreement and had an opportunity to discuss and/or negotiate the terms of this Agreement, that I am fully competent to manage my own business affairs and to enter into this Agreement, and that I have signed this Agreement knowingly, freely, and voluntarily.
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