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To recieve any tattoo, piercing or physical service you MUST complete the following consent waiver PRIOR to your visit.

All information is MANDATORY and PRIVATE.

MUST BE 18 OR OLDER TO GET TATTOOED, NO EXCEPTIONS.
 

 

 

 

I Agree
I hereby agree to release and hold harmless, NEW TRIBE BODY DESIGN INC and all employees from ANY and all claims, damages, and legal actions arising from, or connected in any way to my tattoo/piercing procedure.

I Agree
I acknowledge that infection is always possible with any tattoo/piercing, and that New Tribe Body Design INC will not be responsible for any complications resulting from not following proper aftercare procedures and/or my lifestyle and behavioral choices following my procedure.

I Agree
If concerned about allergies, I have consulted my doctor and am un-aware of any allergies to any pigments/ink, metals, or any products used in the process of either tattooing or piercing.

I Agree
If any such allergies are known, I have stated each in full detail in the space provided below.

I Agree
I hereby swear to be the age represented on this form, and am not currently under the influence of alcohol or drugs.

I Agree
If I consent to a photo of my work being taken, I hereby give permission for said photo to be used in any media/display/print purposed either online, and/or in the shop.

I Agree
I acknowledge there is always a chance I can contract the COVID-19 virus. Regardless of all the government mandated steps and beyond that New Tribe Inc has taken there is always an inherent risk of exposure in any public place where people are present. I voluntarily assume all risks related to exposure to COVID-19 and agree not to hold New Tribe Inc, it’s subsidiaries, agents or employees liable for any potential illness”

I Agree
I acknowledge it is my personal responsibility to ensure any tattoo design containing words, lettering, numbers, or specific info are reviewed before tattoo application. Your artist will show you your stencil and ask you to confirm all spelling and specific info to be included.  

I Agree
I understand that minor variations in my tattoo design in colour and form may occur during the application process and that some colours may vary on different skin tones. If concerned, I have inquired directly about my particular situation and design choices.  

 

*********** COVID-19 CHECK ************

I Agree
I DO NOT HAVE A FEVER

I Agree
I DO NOT HAVE A COUGH

I Agree
I DO NOT HAVE DIFFICULTY BREATHING

I Agree
I DO NOT HAVE TROUBLE SWALLOWING OR A SORE THROAT

I Agree
I DO NOT HAVE A RUNNY NOSE

I Agree
I DO NOT HAVE ANY LOSS OF TASTE

I Agree
I DO NOT HAVE NAUSEA, VOMITTING OR DIARRHEA

I Agree
I HAVE NOT BEEN IN CLOSE CONTACT WITH SOMEONE WHO IS CONFIRMED COVID-19

I Agree
I HAVE NOT TRAVELLED OUTSIDE OF CANADA IN THE LAST 14 Days

THE PERSON GETTING WORK DONE IS A...
AdultMinor
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First CLIENT Name

First Name*

Last Name*

Phone*
First CLIENT Date of Birth*
First CLIENT Signature*
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*
Medical Conditions

Please List any relevant medical conditions *
ARE YOU PREGNANT OR BREASTFEEDING?
Click to customize question*
No
Yes
MUST BE 18 OR OLDER TO GET TATTOOED, NO EXCEPTIONS. MUST BE 18 OR OLDER FOR GENITAL/MICRODERMAL PIERCINGS. FOR STANDARD PIERCINGS, IF YOU ARE 16-17 YOU MAY SIGN FOR YOURSELF AS A MINOR (AS YOUR OWN GUARDIAN) FOR STANDARD PIERCINGS, IF YOU ARE 13-15 YOUR ACTUAL PARENT MUST SIGN FOR YOU AND ACCOMPANY YOU TO THE SHOP. FOR EARLOBE PIERCINGS, WE WILL PIERCE 5YRS OLD AND UP WITH A PARENT IN THE SHOP AND ALSO MUST SIGN THE WAIVER FOR THE CHILD.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
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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