Tattoo Consent And Release Form

By submitting this form I agree to all all terms and hereby give consent for the tattoo artist named below to perform a tattoo on me. I release the tattoo establishment named below and the tattoo artist from any and all manner of liabilities, claims, actions and demands in law, or in equity, which I or my heirs might now or hereafter by reason of complying with my request of a tattoo. I understand that any employee or independent contractor of the named establishment, when performing a tattoo does not act in the capacity as a medical professional. The suggestions made by any employee or independent contractor of the named establishment are just suggestions. They are not to be construed as, or substituted for advice from a medical professional. I understand that the tattoo will be performed using appropriate techniques, instruments and pigments. I also understand that infections can occur due to lack of proper aftercare hygiene and/or pigment sensitivities. To ensure proper healing of my tattoo, I agree to follow written and/or verbal aftercare instructions that will be provided until healing is complete. I understand that a tattoo may take several weeks to heal properly. If you are asked for a payment by any method other than being rang up at the front desk at the cash register, please call 704-670-6946.

Location *
Do you have hepatitis? *
Are you HIV positive? *
Are you diabetic? *
Have you had jaundice in the past 10 days? *
Do you have high blood pressure? *
Are you currently on blood thinner? *
Do you bleed excessivley? *
Are you under the influence of drugs or alcohol? *
Have you consumed food within the last 2 hours? *
Are you pregnant or breastfeeding? *
Do you have any conditions that might affect the healing of this tattoo? *
I understand that I am making a permanent change to my body. *
I agree to proof-read my stencil prior to tattooing and that my tattoo artist is not responsible for misspellings, incorrect grammar, dates or numbers. *
I agree to check the location of the stencil and approve it's location. *
I understand that I may not be able to donate plasma for up to 12 months after getting a tattoo in NC. *
I understand that all sales are final and that NO REFUNDS will be issued. *
ID (Select Camera and photograph your ID) *