Tattoo Concent Form

Please add initials in the boxes provided after reading to show that you understand each provision. Feel free to ask any question regarding this waiver.

In consideration of receiving a tattoo at Black Cat Tattoo including its artists, associates, apprentices, agents or any employee (hereinafter referred to as "Tattoo Studio", I agree to the following:

I Have been fully informed of the inherent risk of getting a tattoo. Therefore, I fully understand that these risks, known and unknown, can lead to injury including but not limited to: Infection, scarring, difficulties in the detection of melanoma and allergic reactions to tattoo pigment, latex, gloves and/or soap. Having been informed to the potential risk associated with getting a tattoo I wish to proceed with the tattoo procedure and application and freely accept and expressly assume all the risks that may arise from tattooing.

If any provision, section, subsection, clause, or phrase of this release is found to be unenforceable or invalid, that portion shall be severed from this contract. The remainder of this contract will then ne constructed as though the unenforceable porting had never been contained in this document.

I hereby declare that I am of legal age (and have provided valid proof of age and identification) and am competent to sign this agreement.

I HAVE READ THE AGREEMENT, I UNDERSTAND IT, AND I AGREE TO BE BOUND BY IT.

Desciption & Location of Tattoo:

Today's Date:

Birthdate:

Age:

Please enter your name and last name

Please enter your Address

Select form of identification:

ID #

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Your Signature

Artist Signature

Today's Date:

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