Medical Disclosure and Release Form
I hereby release and discharge Tiger Shark Tattoo Shop and its employees from any type of negligence, liability, claim, action, demand, and compensation in law and in equity, which I have or might have, now and hereafter; by reason of my request to be tattooed. I also specifically release and forever discharge Tiger Shark Tattoo Shop and its employees and its agents, for any and all loss or damage on account of injury to my person or property caused by Tiger Shark Tattoo Shop, otherwise; by reason of my request to be tattooed. I give permission to copyright and/or publish photographs of myself with or without my name in any such manner as deemed proper to their use. I realize that misrepresentation or falsification of information provided by me is a crime and is subject to prosecution. I further certify that I am over the age of eighteen and am not intoxicated or under the influence of any narcotic substance and made this statement entirely of free will and sound mind. I acknowledge that a tattoo is a permanent change to my appearance and that no representations have been made to me as to the ability to later change or remove my tattoo. I acknowledge it is not reasonably possible for the representatives and employees of this tattoo shop to determine whether I might have an allergic reaction to the pigments or processes used in my tattoo, and I agree to accept the risk that such a reaction is possible. I acknowledge that infection is always possible as a result of the obtaining of a tattoo, particularly in the event that I do not take proper care of my tattoo. I also acknowledge that I have received aftercare instructions for my tattoo today. This is a legal binding contract.
Today's date: September 26, 2023