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Arch Envy

I acknowledge that any information contributed by me is true, to the best of my knowledge, and that the present condition of the area that has been treated or will be treated is stated on this record. I fully understand that ARCH ENVY only provides Cosmetic Tattooing; there is no medical treatment involved.


I realize that with any beauty service, there may be risks which must be understood. I will be fully responsible for any and all results which may arise from these beauty services. I do hereby agree to hold ARCH ENVY free from any and all claims or suits for damage, for injuries or complications resulting from any beauty service provided by ARCH ENVY.


The nature and purpose of the beauty services, the risks involved, and the possibility of complications have been fully explained to me. I understand that no guarantee or assurance has been given by anyone as to the results that may be obtained.


By signing below, I acknowledge that I have read and understand the above and all of my questions have been answered. I consent to receive the above beauty services.

June 12, 2025

First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Select Gender
First Participant's Date of Birth*
Date of Birth
First Participant's Information
Street Address *
City *
Province *
Postal Code *
ACKNOWLEDGEMENT: I acknowledge that any information contributed by me is true, to the best of my knowledge, and that the present condition of the area that has been treated or will be treated is stated on this record. I fully understand that ARCH ENVY only provides Cosmetic Tattooing services; there is no medical treatment involved. I realize that with any beauty service, there may be risks which must be understood. I will be fully responsible for any and all results which may arise from these beauty services. I do hereby agree to hold ARCH ENVY free from any and all claims or suits for damage, for injuries or complications resulting from any beauty service provided by ARCH ENVY. The nature and purpose of the beauty services, the risks involved, and the possibility of complications have been fully explained to me. I understand that no guarantee or assurance has been given by anyone as to the results that may be obtained. By signing below, I acknowledge that I have read and understand the above and all of my questions have been answered. I consent to receive the above beauty services. *
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Select Gender
Participant's Date of Birth*
Date of Birth
Second Participant's Information
Street Address *
City *
Province *
Postal Code *
ACKNOWLEDGEMENT: I acknowledge that any information contributed by me is true, to the best of my knowledge, and that the present condition of the area that has been treated or will be treated is stated on this record. I fully understand that ARCH ENVY only provides Cosmetic Tattooing services; there is no medical treatment involved. I realize that with any beauty service, there may be risks which must be understood. I will be fully responsible for any and all results which may arise from these beauty services. I do hereby agree to hold ARCH ENVY free from any and all claims or suits for damage, for injuries or complications resulting from any beauty service provided by ARCH ENVY. The nature and purpose of the beauty services, the risks involved, and the possibility of complications have been fully explained to me. I understand that no guarantee or assurance has been given by anyone as to the results that may be obtained. By signing below, I acknowledge that I have read and understand the above and all of my questions have been answered. I consent to receive the above beauty services. *
Third Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Select Gender
Participant's Date of Birth*
Date of Birth
Third Participant's Information
Street Address *
City *
Province *
Postal Code *
ACKNOWLEDGEMENT: I acknowledge that any information contributed by me is true, to the best of my knowledge, and that the present condition of the area that has been treated or will be treated is stated on this record. I fully understand that ARCH ENVY only provides Cosmetic Tattooing services; there is no medical treatment involved. I realize that with any beauty service, there may be risks which must be understood. I will be fully responsible for any and all results which may arise from these beauty services. I do hereby agree to hold ARCH ENVY free from any and all claims or suits for damage, for injuries or complications resulting from any beauty service provided by ARCH ENVY. The nature and purpose of the beauty services, the risks involved, and the possibility of complications have been fully explained to me. I understand that no guarantee or assurance has been given by anyone as to the results that may be obtained. By signing below, I acknowledge that I have read and understand the above and all of my questions have been answered. I consent to receive the above beauty services. *
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Select Gender
Participant's Date of Birth*
Date of Birth
Fourth Participant's Information
Street Address *
City *
Province *
Postal Code *
ACKNOWLEDGEMENT: I acknowledge that any information contributed by me is true, to the best of my knowledge, and that the present condition of the area that has been treated or will be treated is stated on this record. I fully understand that ARCH ENVY only provides Cosmetic Tattooing services; there is no medical treatment involved. I realize that with any beauty service, there may be risks which must be understood. I will be fully responsible for any and all results which may arise from these beauty services. I do hereby agree to hold ARCH ENVY free from any and all claims or suits for damage, for injuries or complications resulting from any beauty service provided by ARCH ENVY. The nature and purpose of the beauty services, the risks involved, and the possibility of complications have been fully explained to me. I understand that no guarantee or assurance has been given by anyone as to the results that may be obtained. By signing below, I acknowledge that I have read and understand the above and all of my questions have been answered. I consent to receive the above beauty services. *
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Select Gender
Participant's Date of Birth*
Date of Birth
Fifth Participant's Information
Street Address *
City *
Province *
Postal Code *
ACKNOWLEDGEMENT: I acknowledge that any information contributed by me is true, to the best of my knowledge, and that the present condition of the area that has been treated or will be treated is stated on this record. I fully understand that ARCH ENVY only provides Cosmetic Tattooing services; there is no medical treatment involved. I realize that with any beauty service, there may be risks which must be understood. I will be fully responsible for any and all results which may arise from these beauty services. I do hereby agree to hold ARCH ENVY free from any and all claims or suits for damage, for injuries or complications resulting from any beauty service provided by ARCH ENVY. The nature and purpose of the beauty services, the risks involved, and the possibility of complications have been fully explained to me. I understand that no guarantee or assurance has been given by anyone as to the results that may be obtained. By signing below, I acknowledge that I have read and understand the above and all of my questions have been answered. I consent to receive the above beauty services. *
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Select Gender
Participant's Date of Birth*
Date of Birth
Sixth Participant's Information
Street Address *
City *
Province *
Postal Code *
ACKNOWLEDGEMENT: I acknowledge that any information contributed by me is true, to the best of my knowledge, and that the present condition of the area that has been treated or will be treated is stated on this record. I fully understand that ARCH ENVY only provides Cosmetic Tattooing services; there is no medical treatment involved. I realize that with any beauty service, there may be risks which must be understood. I will be fully responsible for any and all results which may arise from these beauty services. I do hereby agree to hold ARCH ENVY free from any and all claims or suits for damage, for injuries or complications resulting from any beauty service provided by ARCH ENVY. The nature and purpose of the beauty services, the risks involved, and the possibility of complications have been fully explained to me. I understand that no guarantee or assurance has been given by anyone as to the results that may be obtained. By signing below, I acknowledge that I have read and understand the above and all of my questions have been answered. I consent to receive the above beauty services. *
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Select Gender
Participant's Date of Birth*
Date of Birth
Seventh Participant's Information
Street Address *
City *
Province *
Postal Code *
ACKNOWLEDGEMENT: I acknowledge that any information contributed by me is true, to the best of my knowledge, and that the present condition of the area that has been treated or will be treated is stated on this record. I fully understand that ARCH ENVY only provides Cosmetic Tattooing services; there is no medical treatment involved. I realize that with any beauty service, there may be risks which must be understood. I will be fully responsible for any and all results which may arise from these beauty services. I do hereby agree to hold ARCH ENVY free from any and all claims or suits for damage, for injuries or complications resulting from any beauty service provided by ARCH ENVY. The nature and purpose of the beauty services, the risks involved, and the possibility of complications have been fully explained to me. I understand that no guarantee or assurance has been given by anyone as to the results that may be obtained. By signing below, I acknowledge that I have read and understand the above and all of my questions have been answered. I consent to receive the above beauty services. *
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Select Gender
Participant's Date of Birth*
Date of Birth
Eighth Participant's Information
Street Address *
City *
Province *
Postal Code *
ACKNOWLEDGEMENT: I acknowledge that any information contributed by me is true, to the best of my knowledge, and that the present condition of the area that has been treated or will be treated is stated on this record. I fully understand that ARCH ENVY only provides Cosmetic Tattooing services; there is no medical treatment involved. I realize that with any beauty service, there may be risks which must be understood. I will be fully responsible for any and all results which may arise from these beauty services. I do hereby agree to hold ARCH ENVY free from any and all claims or suits for damage, for injuries or complications resulting from any beauty service provided by ARCH ENVY. The nature and purpose of the beauty services, the risks involved, and the possibility of complications have been fully explained to me. I understand that no guarantee or assurance has been given by anyone as to the results that may be obtained. By signing below, I acknowledge that I have read and understand the above and all of my questions have been answered. I consent to receive the above beauty services. *
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Select Gender
Participant's Date of Birth*
Date of Birth
Ninth Participant's Information
Street Address *
City *
Province *
Postal Code *
ACKNOWLEDGEMENT: I acknowledge that any information contributed by me is true, to the best of my knowledge, and that the present condition of the area that has been treated or will be treated is stated on this record. I fully understand that ARCH ENVY only provides Cosmetic Tattooing services; there is no medical treatment involved. I realize that with any beauty service, there may be risks which must be understood. I will be fully responsible for any and all results which may arise from these beauty services. I do hereby agree to hold ARCH ENVY free from any and all claims or suits for damage, for injuries or complications resulting from any beauty service provided by ARCH ENVY. The nature and purpose of the beauty services, the risks involved, and the possibility of complications have been fully explained to me. I understand that no guarantee or assurance has been given by anyone as to the results that may be obtained. By signing below, I acknowledge that I have read and understand the above and all of my questions have been answered. I consent to receive the above beauty services. *
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Select Gender
Participant's Date of Birth*
Date of Birth
Tenth Participant's Information
Street Address *
City *
Province *
Postal Code *
ACKNOWLEDGEMENT: I acknowledge that any information contributed by me is true, to the best of my knowledge, and that the present condition of the area that has been treated or will be treated is stated on this record. I fully understand that ARCH ENVY only provides Cosmetic Tattooing services; there is no medical treatment involved. I realize that with any beauty service, there may be risks which must be understood. I will be fully responsible for any and all results which may arise from these beauty services. I do hereby agree to hold ARCH ENVY free from any and all claims or suits for damage, for injuries or complications resulting from any beauty service provided by ARCH ENVY. The nature and purpose of the beauty services, the risks involved, and the possibility of complications have been fully explained to me. I understand that no guarantee or assurance has been given by anyone as to the results that may be obtained. By signing below, I acknowledge that I have read and understand the above and all of my questions have been answered. I consent to receive the above beauty services. *
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
CLIENT PERSONAL RECORD AND MEDICAL HISTORY
Check all that apply:
AIDS (HIV)
Abnormal Heart Condition
Accutane
Accutane or Acne treatment
Alcoholism
Allergies to Latex
Allergies to Lidocaine
Bleeding Disorder
Bleeds Easily
Blood Thinners
Botox
Chemical Skin Peel
Chemotherapy / Radiation
Cold Sores / Shingles
Contact Lenses
Diabetes
Do you have old permanent makeup?
Heart Problems
Hemophilia
Hepatitis / Jaundice
Hepatitis A, B, C, D
Hypoglycemia
Iron Deficiency / Anemia
Keloid Scars
Oily Skin
Planning on having a surgical brow/face lift?
Pregnancy
Pregnant or Breastfeeding currently
Skin Disorder(s)
Tan by booth or salon
Tumors/Growths/Cysts
Please list any current medications: *
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.


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*
Phone*
Select Gender
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Information
Street Address *
City *
Province *
Postal Code *
ACKNOWLEDGEMENT: I acknowledge that any information contributed by me is true, to the best of my knowledge, and that the present condition of the area that has been treated or will be treated is stated on this record. I fully understand that ARCH ENVY only provides Cosmetic Tattooing services; there is no medical treatment involved. I realize that with any beauty service, there may be risks which must be understood. I will be fully responsible for any and all results which may arise from these beauty services. I do hereby agree to hold ARCH ENVY free from any and all claims or suits for damage, for injuries or complications resulting from any beauty service provided by ARCH ENVY. The nature and purpose of the beauty services, the risks involved, and the possibility of complications have been fully explained to me. I understand that no guarantee or assurance has been given by anyone as to the results that may be obtained. By signing below, I acknowledge that I have read and understand the above and all of my questions have been answered. I consent to receive the above beauty services. *
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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