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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.

I WAIVE AND RELEASE to the fullest extent permitted by law any person of the tattoo studio from all liability whatsoever, including but not limited to any and all claims or causes of action that I, my estate, heirs, executors or assigns may have for personal injuries or otherwise, including any direct and/or consequential damages, which result or arise from the procedure and application of my tattoo, whether caused by the negligence or fault of either the Tattoo Studio or otherwise.

The Tattoo Studio has given me the full opportunity to ask any question about the procedure and application of my tattoo and all my questions, if any have been answered to my total satisfaction.

The Tattoo Studio has given me instructions on the care of my tattoo while it’s healing. I understand and will follow them. I acknowledge that it is possible that the tattoo 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 expense.

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

I do not suffer from diabetes, epilepsy, hemophilia, heart condition(s), nor do I take blood thinning medications. I do not have any other medical or skin condition that may interfere with the procedure, application, or healing of the tattoo. I am not the recipient of an organ or bone narrow transplant or, if I am, I have taken prescribed preventive regimen of antibiotics that is required by my doctor in advance of any invasive procedure such as tattooing or piercing. I am not pregnant or nursing. I do not have mental impairment that may affect my judgment of getting the tattoo.

The Tattoo Studio is not responsible for the meaning or spelling of symbols or text that I have provided to them or chosen from the flash (design) sheet.

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. I also understand that over time, the colors and the clarity of my tattoo will fade due to unprotected exposure to the sun and the naturally occurring dispersion of pigment under the skin.

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 to its exact appearance before being tattooed.

I release the right to any photograph taken of me and the tattoo and give consent in advance to their reproduction in print or electronic form (For assurance, if you do not initial this provision, please inform the Tattoo Studio NOT to take any pictures of you and your completed tattoo).

I agree that the Tattoo Studio has a NO REFUNF policy on Tattoos, piercing and/or retail sales and I will not ask for a refund for any reason whatsoever.

I agree to reimburse the Tattoo Studio for any attorneys’ fees and costs incurred in any legal action I bring against the Tattoo Studio and un which either the Artist of the Tattoo Studio in the prevailing party. I agree that the courts of located in the County of Marion withing the State of Florida shall have jurisdiction and venue over me and shall have exclusive jurisdiction for the purposes of litigating and dispute arising out of or related to this agreement.

I acknowledge that I have been given adequate opportunity to read and understand this document that is was not presented to me at the last minute and grasp that I am signing a legal contract waiving certain rights to recover damages against the Tattoo Studio.

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:

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