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Waiver for those receiving our tattoo services

Rules of our Studio

  1. Absolutely no food or drink outside of the lobby. Please do not ask.
  2. Unless your child has an appointment for an ear piercing, children are not allowed anywhere in the studio.
  3. Do not go into service rooms unless you are invited.
  4. Each customer may have ONE friend joining them in a service area.
  5. A valid government issued I.D. must be presented before all services. No I.D. No service..
  6. We reserve the right to refuse service to anyone.
  7. If you need to smoke please do not smoke outside our doors.
  8. No screaming or yelling.
  9. Please respect the studio and it's staff.
  10. Do not remove bandages from tattoos or change or remove body jewelry in the studio unless assisted by staff members.

Aftercare purchase is required for service. 

The healing process of your tattoo is the most important phase and is the phase in which the most damage can happen to your tattoo. To prevent people from using non recommended products or home remedies, we require everyone who receives a service to purchase our approved aftercare. The aftercare is from H2Ocean and is sold for the current MSRP set by the manufacturer. This helps keep the integrity of your tattoo and our artwork after you leave the studio.

Taxes on services and surcharges

There is no sales tax in Florida for services. However there is a 7.5% Environmental Health surcharge on all services.

Notice of Professional Responsibility

I understand that if I do not remain still during my tattoo, have excessive bleeding, swelling, or notify us of excessive discomfort our professional obligation may require us to terminate the session for the day.

Depending on how your body heals sometimes a second application of ink will be necessary to fully saturate a tattoo area. This is dependant upon how your body heals and how well you take care of a tattoo and differs from person to person. If you need a second application you will need to make an appointment. This is also true of tattoos that are covering older tattoos. All second applications will be billed at our same hourly rate, however the minimum will be $30.

The following areas are succeptable to blowouts and needing touchups. If you're concerned about the possibility please speak with your artist. It is our duty to inform you of the risks involved with any of our services.

  • Wrists
  • Hands
  • Feet
  • Ears and behind ears
  • Lips and inside of mouth

I Agree
April 19, 2024

Waiver and Liability Release

To my knowledge I do not have any mental or medical impairment or disability which might affect my well being as a direct or indirect result of my decision to have any tattoo procedure done at this time.

I agree to follow all instructions concerning the care of my tattoo while it's healing.

I understand that if my skin color is dark the colors will not appear as bright as the do on lighter skin.

I understand that the finished tattoo may vary somewhat in appearance, color, and/or design from the paper or other drawing or photographic image which the tattoo design is based.

I agree for myself, my heirs, assigns and legal representatives to hold harmless from all damages, actions, causes of action, claim judgements, costs of litigations, attorney's fees and all other costs and expenses which might arise from my decision to have any tattoo service done by East Coast Worldwide Studios Inc.

I have been advised that the tattoo will be permanent and that it can only be removed with a surgical procedure, and that any effective removal will leave permanent scarring and disfigurement. This cautionary notice is required to be provided to me by the health department and I hereby acknowledge receipt of this formal notice.

I agree to pay for any and all damages and injuries to any persons and property belonging to East Coast Worldwide Studios, Inc or any other person whom they may become liable contractually or by operation of law, caused by or resulting from my decision to have any tattoo work done by East Coast Worldwide Studios Inc.

I hereby grant irrevocable authorization for use of any reproduction by East Coast Worldwide Studios Inc, and and all photographs or videos which are taken of this day of me, negative or positive proof which will be hereby attached for any purposes whatsoever, without further compensation to me. All negatives, together with the prints, video, or live internet stream shall become and remain the property of East Coast Worldwide Studios Inc, soley and completely.

I swear and affirm and agree that the information is true and correct. I have been provided with information describing the tattoo procedure to be performed and instructions on aftercare. I have been made aware that if I have any signs or symptons of infections, swelling, pain, redness, warmth, fever, unusual discharge, or odor to contact my physician. I also acknowledge it is also my responsibility to take care of my new tattoo according to the instructions provided both verbally and in writing.

I agree that if my body displays any signs or symptons of infections, swelling, pain, redness, warmth, fever, unusual discharge, or odor the session will be ended by the artist as part of his/her professional responsibility.

April 19, 2024

 

Please remove all sharp objects from your person before laying on our equipment to prevent holes or tears. Holes or tears render the furniture uncleanable and you will be responsible for cost of repair or replacement.





Who is getting tattooed?
AdultMinor
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First Client's Name

First Name*

Middle Name

Last Name*

Phone*
First Client's Date of Birth*
First Client's Dr. Contact Information
Which Doctor would you like us to call in case of emergency? (We will call 911 and give this information to them)*
Ascension St Vincent's Southside - 4201 Belfort Rd, Jacksonville FL 32217 904-296-3700
Other

If Other, What is your doctors name?

Doctor's Address

Doctor's Phone Number
First Client's Signature*
Client's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Parent or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*
Medical History (selecting yes does not automatically disqualify you)
Are you pregnant?*
No
Yes
Are you under the influence of any substance?*
No
Yes
Do you have a history of bleeding disorders?*
No
Yes

Please list any allergies (If none leave blank)
How did you hear about us?
How did you hear about us?*

If "other" please tell us how!! If "friend" please tell us who!!
Description of your tattoo.

Brief description of your tattoo *

Location of tattoo on your body *

Name of artist tattooing you today *
Numbing Cream Available
If you're concerned that the pain of the tattoo may be too great to finish or if you just want to enjoy the tattoo more, we have a numbing cream available that significantly reduces the pain experienced. It is not as effective for short and quick tattoos under half an hour, however it can be used in the aftercare regiment to help numb the pain from healing tattoos in the upcoming days, and can still be used during the tattoo. Would you like to use the numbing cream? The price is $24.99. Please let your artist know.*
No
Yes
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above. A notarized affidavit is required. If your names do not match on your ID's then additional paperwork will be necessary.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Dr. Contact Information
Which Doctor would you like us to call in case of emergency? (We will call 911 and give this information to them)*
Ascension St Vincent's Southside - 4201 Belfort Rd, Jacksonville FL 32217 904-296-3700
Other

If Other, What is your doctors name?

Doctor's Address

Doctor's Phone Number
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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