WAIVER FORM

FLIPSIDE TATTOOS

    I, have been fully informed of the inherent risks, associated with getting a tattoo.

    I fully understand that these risks, known and unknown, can lead to injury, including but not limited to infection, scarring, difficulties in detecting melanoma and allergic reactions to tattoo pigment, latex gloves, and/or soap.

    The Artist and the Tattoo Studio have given me instructions on the care of my tattoo while it's healing, and I understand them and will follow them. I acknowledge that it is possible that the tattoo can 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 do not have diabetes, epilepsy, hemophilia, a heart condition, nor do I take blood thinning medication.

    If your answer to the last question is NO:
    I have a doctor's note

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

    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.

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

    Print full name:

    Phone Number

    E-mail

    Date

    Brief Description of Tattoo Placement (optional)

    Artist

    SIGNATURE OF CUSTOMER