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WGTATTOOS 171 ROMAN BANK , SKEGNESS , PE251RY

Tattoo waiver form

 

 

 

Please read the following thoroughly. After completing the waiver you will be required to provide any and all forms of Valid id to the wgtattoos counter staff upon arrival. prior to being tattooed.

Participant's
AdultMinor
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First clients Name

First Name*

Last Name*
First clients Date of Birth*
First clients Signature*
Parent or Guardian's Email Address

Email
A signed copy of this waiver will be sent to the email address you provide.
ID (please ask counter staff if id is required)

TYPE OF ID SHOWN

ID NUMBER (DRIVERS LICENCE NUMBER OR ID CARD NUMBER)
Blood Born Pathogens
Do you have any blood born pathogens , transmitted deseases or recent illnesses? (its ok if you do , we just want to know for everyone's safety*
No
Yes

If answered yes please provide description
Risks
By checking yes , I understand that I will be fully informed of the inherit risks associated with getting a tattoo prior to be tattooed and understand that I may ask any questions regarding risks at any time throughout the process. 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. Having been informed of the potential risks , I still wish to procedd with the tattoo application and I freely accept expressly assume any and all risks**
No
Yes
Waive
By checking yes , I choose to waive and release to the fullest extent permitted by law , each artrist and studio from all liability whatsoever, for any and all claims or causes of action that I , my estate , heirs , executers or assigns may have for personal injury or otherwise , including any direct and/or consequently damages , which result or arise from my tattoo , whether caused by negligence or fault of either artist or the tattoo studio**
No
Yes
Healing
By checking yes , I understand that I will be given proper instructions on aftercare of my tattoo while its 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**
No
Yes
Influence
By checking yes , I agree that I will not be under the influence of alcohol or drugs at any time of receiving the tattoo, and that I am voluntarily submitting to be tattooed by the artist without duress or coercion**
No
Yes
Health
By checking yes, I agree that I DO NOT have diabetes , epilepsy, hemophillia , a heart condition, nor do I take blood thinning medication, I do not have any other condition that may interfere with the application or healing of the tattoo. I am not the recipient of an organ or bone marrow transplant or , if I am I have taken the preventative antibiotics. I am not pregnant or nursing. I do not have a mental impairment that may effect my judgement in getting a tattoo**
No
Yes

If answered no please provide description
Spelling
By checking yes. I understand that neither the artist nor the studio is responsible for meaning or spelling of the symbol or text that I have provided to them or chosen from any flash/design sheets**
No
Yes
Fading
By checking yes . I understand that variations in colour and design may exists between the art I have selected and the actual tattoo. I also understand that over time, colours and the clarity of my tattoo will fade due to natural dispersion of pigment under the skin**
No
Yes
Permanance
By checking yes. I understand that the tattoo is a permanent change to my appearance and can only be removed by laser or surgical means, which can be disfiguring and/or costly and which in all likelihood will not result in the restoration of my skin**
No
Yes
Questions
By checking yes . I acknowledge that I have been given adequate opportunity to read and understand this document, that any and all of my questions may be answered, and that this document was not presented to me last minute. I also understand that I am signing a legal contract waiving certain rights to recover against artist and studio**
No
Yes
Photography
By checking yes. I agree to release all rights to any photographs taken of me and the tattoo and give consent in advance to their reproduction in print or electronic form. If you do not agree, do Not check Yes and please advice your artist*
No
Yes
The release form
By checking yes. I acknowledge that I have been given adequate opportunity to read and understand this document, that it was not presented to me at the last minute, and I understand that I am signing a legal contract**
No
Yes
COVID-19
Please indicate if you have any of the following symptoms today or within the last 14 days
Shortness of breath
Fever
Cough
Chills
Sore throat

Have you been around anyone with these symptoms in the last 14 days? if so please explain

Have you traveled domestically or internationally within the last 4 weeks if so where have you traveled
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.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*
Parent or Guardian's Date of Birth*
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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