Consent Form Consent FormPlease review the terms below and check all the boxes to accept. I fully understand the risks, known and unknown, can lead to injury including but not limited to: infections, scarring, difficulties in the detection of melanoma and allergic reaction to tattoo pigment, latex gloves and or soaps. Having been informed of the potential risks associated with getting a tattoo, I wish to proceed with the tattoo procedures and application and freely accept and expressly assume any and all risks that may arise from tattooing. I waive and release to the fullest extent permitted by law any persons of the Tattoo Studio from all liability whatsoever, including but not limited to, any and all claims or causes of actions that I, my estate, heirs, executors or assign may have for personal injury or otherwise, including any direct and/ or consequential damages, which results or arise from the procedure and application of my tattoo, whether caused by the negligence or fault of either the Tattoo Studio or otherwise. 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 medication. 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 pregnant or nursing. I do not have a mental impairment that may affect my judgment in getting a tattoo. I agree that the Tattoo Studio has a NO REFUND policy on tattoos and or retail sales and I will not ask for a refund for any reason whatsoever. I will be given aftercare instructions and understand that the aftercare process is up to each individual customer, and any problem that arises with the tattoo after it is completed is not part of the Tattoo Studio or employees responsibility. I also understand that the employees at the Tattoo Studios are operating in compliance to the law, and will give me the professional standard, in terms of sterilization, usage of disposable instruments, and artistic standard. 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.First NameLast NameAgeEmailPhonePlease upload a photo of your IDChoose File Artist Name- Select -No preferenceCJMokoWasabiSoeenRiverJinKaiGuest ArtistPrice or Hourly RateIs this a script tattoo? Yes NoPlease upload a picture of your tattoo design and double check the spellingChoose File Where did you hear about us? Google Instagram Yelp Friends/Family Repeat Customer OtherWould you like to sign up as a tattoo model (Artists occasionally offer large model pieces at lower rates for portfolio work or competitions. Click Yes to join the waiting list.) Yes, sign me up! No, not now.Submit Form