CLIENT CONSENT FORM


*Please do not fill this out unless instructed to*

CLIENT DETAILS

CONTACT DETAILS

CONTRAINDICATIONS

CONSENT

Please read through the following carefully and sign at the bottom of the page. If you have any questions please ask one of our friendly team members

I acknowledge that by signing this agreement, I have been given the full opportunity to ask any questions which I might have about the obtaining of a tattoo from HIGH HOPES TATTOO and that all of my questions have been answered to my full and total satisfaction. I specifically acknowledge that I have been advised of the facts and matters set forth below, and I agree to the following:

  1.  I am not a hemophiliac, I do not have diabetes, epilepsy, hepatitis, HIV/AIDS or any other communicable disease. I am not under the influence of alcohol and/or drugs and I am not taking any blood thinning medications or medications that will affect my tattoo or tattooing procedure. I am not currently pregnant or breastfeeding.

  2.  I acknowledge that it is not reasonably possible for the representatives and employees of HIGH HOPES TATTOO to determine whether I might have an allergic reaction to the pigments or process used in my tattoo, and I agree to accept any and all risks associated with obtaining a tattoo.

  3.  I acknowledge that infection is possible as a result of obtaining a tattoo, particularly in the event that I do not take proper and advised care of my tattoo. I agree to follow all instructions given to me by HIGH HOPES TATTOO and its artists concerning the care of my tattoo while it is healing. I agree that any touch-up work needed due to my own negligence, will be done so at my expense. I acknowledge that I have received a copy of the written aftercare instructions, which I have read and understood fully and hereby assume all responsibility for aftercare and cleanliness of my tattoo.

  4.  I realise that variations in colour and design may exist between any tattoo as selected by me and as ultimately applied to my body.

  5.  I acknowledge that I have checked all spelling, grammar and designs associated with my tattoo and that it is my responsibility to make sure placement and final designs are correct.

  6.  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 any physical, mental or medical impairments or disabilities which may affect my well-being as a direct or indirect result of my decision to have any tattoo-related work done at this time.

  7.  I acknowledge that I have truthfully represented to the employees and representatives of HIGH HOPES TATTOO that I am over the age of eighteen (18) years old, and that the following information is true and correct.

  8.  I acknowledge that the obtaining of my tattoo is my choice alone and I consent to the application of the tattoo and to any action or conduct of the employees of HIGH HOPES TATTOO reasonably necessary to perform the tattoo procedure.

  9.  I understand that any employee of HIGH HOPES TATTOO does not act in the capacity of a medical professional. The suggestions made by an employee or agent of this studio are just suggestions. They are not to be construed as, or substituted for advice from a medical professional.

  10. I agree and consent to have a photo(s) of my tattoo on social media for advertising/promotional purposes

  11. I agree to release and hold harmless HIGH HOPES TATTOO and its employees from any and all claims, damages and legal actions arising from or connected in any way with my tattoo and of the procedures conducted to apply my tattoo.


✱✱YOU MUST BE AT LEAST 18 YEARS OLD✱✱

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