kitchen tats

kitchentats consent form

 I acknowledge by submitting this form that I have been given the full opportunity to ask any and all  questions which I might have about the obtaining of a tattoo and that all of my questions have been  answered to my full satisfaction. I specifically acknowledge I have been advised of the facts and  matters set forth below and I agree as follows: 

• 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.  

• 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. 

• 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. 

• 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.  

• I realize that variations in color and design may exist between any tattoo as selected by me and as ultimately applied to my body. 

• 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.  

• 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.  

• 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.