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Tsunami Tattoo

1308 MLK JR Blvd

Tacoma, WA 98405

www.tsutattoo.com

Customer Release


Please inform your artist of any medical or skin conditions you may have prior to your appointment.

We are unable to tattoo pregnant women and reserve the right to refuse services.

I acknowledge that I am over the age of eighteen.

I Agree

I acknowledge that a tattoo is permanent, and obtaining a tattoo is by choice and I consent to the application of the tattoo.

I Agree

I acknowledge that my artist is not responsible for any misspelling or meaning of any script and/or symbol and I confirm that I agree to final placement and design of any tattoo on my body.

I Agree

I acknowledge that variations in color and design may exist between any tattoo represented on paper selected by me and what is ultimately applied to my body.

I Agree

I acknowledge that I am not under the influence of drugs or alcohol or any other intoxicating substances.

I Agree

I acknowledge that it is not reasonably possible for my artist to determine whether I might have an allergic reaction to the pigment used in my tattoo. I agree to accept the risk that such a reaction is possible.

I Agree

I acknowledge that infection is always possible and I recognize that the responsibility for properly healing my tattoo is entirely my own.

I Agree

I agree to follow all directions contained in the aftercare (written copies are available upon request.)

I Agree

I acknowledge that I have been informed that in the event of medical complications I should seek medical advice following a consultation with my artist.

I Agree

I hereby acknowledge my artist’s copyright of their artwork and grant permission to publish photographic portraits of the tattoo or pictures of me, or reproductions of the tattoo in any form deemed appropriate such as media art and advertising. I waive any rights i may have to inspect or approve the finished product or the use of its content.

I Agree

I agree to release my artist and the studio in which my tattoo was applied from any claims, damages, or legal actions, arising from designing and/or applying my tattoo. I am, and have been, satisfied with the services provided to me.

I Agree

Date: November 21, 2024

First Client Name

First Name*

Last Name*

Phone*
First Client Date of Birth*
First Client Information

Please list any applicable allergies (ie. latex, known inks, petroleum). If none, enter 'none' *

Do you have or have you ever had a communicable disease or infection? If yes, please write or inform your artist directly

Have you experienced any of these symptoms in the last 10 days? -Fever or chills -Cough -Sore Throat -Shortness of breath or difficulty breathing -Fatigue -Muscle or body aches -Chest pressure or pain -Chest congestion -Runny nose -Loss of taste or smell. Have you been exposed to anyone with ANY of these symptoms OR anyone who has tested positive for Covid-19 in the last 10 days? *
Artist*
First Client Signature*
Second Client Name

First Name*

Last Name*
Second Client Date of Birth*
Second Client Information

Please list any applicable allergies (ie. latex, known inks, petroleum). If none, enter 'none' *

Do you have or have you ever had a communicable disease or infection? If yes, please write or inform your artist directly

Have you experienced any of these symptoms in the last 10 days? -Fever or chills -Cough -Sore Throat -Shortness of breath or difficulty breathing -Fatigue -Muscle or body aches -Chest pressure or pain -Chest congestion -Runny nose -Loss of taste or smell. Have you been exposed to anyone with ANY of these symptoms OR anyone who has tested positive for Covid-19 in the last 10 days? *
Artist*
Third Client Name

First Name*

Last Name*
Third Client Date of Birth*
Third Client Information

Please list any applicable allergies (ie. latex, known inks, petroleum). If none, enter 'none' *

Do you have or have you ever had a communicable disease or infection? If yes, please write or inform your artist directly

Have you experienced any of these symptoms in the last 10 days? -Fever or chills -Cough -Sore Throat -Shortness of breath or difficulty breathing -Fatigue -Muscle or body aches -Chest pressure or pain -Chest congestion -Runny nose -Loss of taste or smell. Have you been exposed to anyone with ANY of these symptoms OR anyone who has tested positive for Covid-19 in the last 10 days? *
Artist*
Fourth Client Name

First Name*

Last Name*
Fourth Client Date of Birth*
Fourth Client Information

Please list any applicable allergies (ie. latex, known inks, petroleum). If none, enter 'none' *

Do you have or have you ever had a communicable disease or infection? If yes, please write or inform your artist directly

Have you experienced any of these symptoms in the last 10 days? -Fever or chills -Cough -Sore Throat -Shortness of breath or difficulty breathing -Fatigue -Muscle or body aches -Chest pressure or pain -Chest congestion -Runny nose -Loss of taste or smell. Have you been exposed to anyone with ANY of these symptoms OR anyone who has tested positive for Covid-19 in the last 10 days? *
Artist*
Fifth Client Name

First Name*

Last Name*
Fifth Client Date of Birth*
Fifth Client Information

Please list any applicable allergies (ie. latex, known inks, petroleum). If none, enter 'none' *

Do you have or have you ever had a communicable disease or infection? If yes, please write or inform your artist directly

Have you experienced any of these symptoms in the last 10 days? -Fever or chills -Cough -Sore Throat -Shortness of breath or difficulty breathing -Fatigue -Muscle or body aches -Chest pressure or pain -Chest congestion -Runny nose -Loss of taste or smell. Have you been exposed to anyone with ANY of these symptoms OR anyone who has tested positive for Covid-19 in the last 10 days? *
Artist*
Sixth Client Name

First Name*

Last Name*
Sixth Client Date of Birth*
Sixth Client Information

Please list any applicable allergies (ie. latex, known inks, petroleum). If none, enter 'none' *

Do you have or have you ever had a communicable disease or infection? If yes, please write or inform your artist directly

Have you experienced any of these symptoms in the last 10 days? -Fever or chills -Cough -Sore Throat -Shortness of breath or difficulty breathing -Fatigue -Muscle or body aches -Chest pressure or pain -Chest congestion -Runny nose -Loss of taste or smell. Have you been exposed to anyone with ANY of these symptoms OR anyone who has tested positive for Covid-19 in the last 10 days? *
Artist*
Seventh Client Name

First Name*

Last Name*
Seventh Client Date of Birth*
Seventh Client Information

Please list any applicable allergies (ie. latex, known inks, petroleum). If none, enter 'none' *

Do you have or have you ever had a communicable disease or infection? If yes, please write or inform your artist directly

Have you experienced any of these symptoms in the last 10 days? -Fever or chills -Cough -Sore Throat -Shortness of breath or difficulty breathing -Fatigue -Muscle or body aches -Chest pressure or pain -Chest congestion -Runny nose -Loss of taste or smell. Have you been exposed to anyone with ANY of these symptoms OR anyone who has tested positive for Covid-19 in the last 10 days? *
Artist*
Eighth Client Name

First Name*

Last Name*
Eighth Client Date of Birth*
Eighth Client Information

Please list any applicable allergies (ie. latex, known inks, petroleum). If none, enter 'none' *

Do you have or have you ever had a communicable disease or infection? If yes, please write or inform your artist directly

Have you experienced any of these symptoms in the last 10 days? -Fever or chills -Cough -Sore Throat -Shortness of breath or difficulty breathing -Fatigue -Muscle or body aches -Chest pressure or pain -Chest congestion -Runny nose -Loss of taste or smell. Have you been exposed to anyone with ANY of these symptoms OR anyone who has tested positive for Covid-19 in the last 10 days? *
Artist*
Ninth Client Name

First Name*

Last Name*
Ninth Client Date of Birth*
Ninth Client Information

Please list any applicable allergies (ie. latex, known inks, petroleum). If none, enter 'none' *

Do you have or have you ever had a communicable disease or infection? If yes, please write or inform your artist directly

Have you experienced any of these symptoms in the last 10 days? -Fever or chills -Cough -Sore Throat -Shortness of breath or difficulty breathing -Fatigue -Muscle or body aches -Chest pressure or pain -Chest congestion -Runny nose -Loss of taste or smell. Have you been exposed to anyone with ANY of these symptoms OR anyone who has tested positive for Covid-19 in the last 10 days? *
Artist*
Tenth Client Name

First Name*

Last Name*
Tenth Client Date of Birth*
Tenth Client Information

Please list any applicable allergies (ie. latex, known inks, petroleum). If none, enter 'none' *

Do you have or have you ever had a communicable disease or infection? If yes, please write or inform your artist directly

Have you experienced any of these symptoms in the last 10 days? -Fever or chills -Cough -Sore Throat -Shortness of breath or difficulty breathing -Fatigue -Muscle or body aches -Chest pressure or pain -Chest congestion -Runny nose -Loss of taste or smell. Have you been exposed to anyone with ANY of these symptoms OR anyone who has tested positive for Covid-19 in the last 10 days? *
Artist*
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*

Confirm Email*
Parent or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*
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*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Please list any applicable allergies (ie. latex, known inks, petroleum). If none, enter 'none' *

Do you have or have you ever had a communicable disease or infection? If yes, please write or inform your artist directly

Have you experienced any of these symptoms in the last 10 days? -Fever or chills -Cough -Sore Throat -Shortness of breath or difficulty breathing -Fatigue -Muscle or body aches -Chest pressure or pain -Chest congestion -Runny nose -Loss of taste or smell. Have you been exposed to anyone with ANY of these symptoms OR anyone who has tested positive for Covid-19 in the last 10 days? *
Artist*
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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