TATTOO CONSENT & AFTERCARE AGREEMENT

WITH GABRIELE DABASINSKAITE / JUSTGABA TATTOO ART

LET US DO THIS PART:
Date Date / MM / DD YYYY
Artists Name Artists Name First Last
Tattoo Location
Tattoo Price
Deposit Amount
Artist's Signature

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
CLIENT'S INFORMATION:
Name Name First Last
Date Of Birth Date Of Birth / MM / DD YYYY
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Email
Social Media Handle ( @username )
Emergency Contact (Name & Phone)
Upload Photo ID

Attach Files
HEALH & SAFETY
DO YOU HAVE FLU-LIKE SYMPTOMS?

DO YOU HAVE FLU-LIKE SYMPTOMS? YES NO
HAVE YOU EATEN IN THE PAST 4 HOURS?

HAVE YOU EATEN IN THE PAST 4 HOURS? YES NO
DO YOU HAVE BLOOD-BORNE PATHOGENS, TRANSMITTABLE DISEASES, OR RECENT ILLNESSES?
PAYMENT & EXPERIENCE
PAYMENT METHOD
IS THIS YOUR FIRST TATTOO?

IS THIS YOUR FIRST TATTOO? YES NO
ADDITIONAL NOTES:
AFTER CARE INSTRUCTIONS

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 injure, included but not limited to infection, scarring, difficulties in detecting Melanoma and allergic reactions to tattoo pigment, latex gloves, and/or soup. 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:

TO WAVE AND RELEASE to the fullest extent permitted by law each of the Artist and the Studio 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 or either Artist or the Tattoo Studio, or otherwise.

HEALING:

The Artist and the Tattoo Studio have given me 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. 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 expenses.

INFLUENCE:

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

HEALTH:

I do not have a diabetes, epilepsy, hemophilia, a heart condition, not do I take thinning medications. I do not have any other condition that may interfere with the 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 preventive antibiotics. I am not pregnant or nursing. I do not have mental impairment that may affect my judgment in getting the tattoo.

SPELLING:

Neither the Artist neither Tattoo Studio 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.

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.

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.

LEGAL ACTION:

I agree to reimburse each of the Artist and Tattoo Studio for any attorney’s fees and costs incurred in any legal action I bring against either The Artist of Tattoo Studio is the prevailing party. I agree that the that the courts of [ STATE ] in [ COUNTRY ] shall have personal jurisdiction and venue over me and shall have exclusive jurisdiction for the purpose of litigating any dispute arising out of related tho this agreement.

QUESTIONS:

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 last minute, and I am signing a legal contract waiving certain rights to recover against the Artist and Tattoo Studio.

PHOTOGRAPHY:

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 advice your Artist.)
ACKNOWLEDGEMENT & SIGNATURE
I have been provided written and verbal aftercare instructions by my tattoo artist. I have had the opportunity to ask questions and had them satisfactorily answered and agree to follow these instructions completely.

I have been provided written and verbal aftercare instructions by my tattoo artist. I have had the opportunity to ask questions and had them satisfactorily answered and agree to follow these instructions completely. YES
CLIENT'S DIGITAL SIGNATURE

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.

TATTOO CONSENT & AFTERCARE AGREEMENT

TATTOO CONSENT & AFTERCARE AGREEMENT

LET US DO THIS PART:

CLIENT'S INFORMATION:

HEALH & SAFETY

PAYMENT & EXPERIENCE

AFTER CARE INSTRUCTIONS

ACKNOWLEDGEMENT & SIGNATURE