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SUPERCHANGO TATTOO STUDIO

PLEASE READ THE FOLLOWING NOTICE:

NO ONE UNDER THE AGE OF 18 CAN LEGALLY BE TATTOOED IN THE STATE OF TEXAS. NO ONE, NO EXCEPTIONS. ATTEMPTS TO GET A TATTOO UNDERAGE WILL RESULT IN A PERMANENT BAN FROM OUR ESTABLISHMENT.

You are hereby notified of the possible risks and dangers associated with the application of each tattoo. These risks and dangers include, but are not limited to, at least the following:

1. The possibility of pain or discomfort

2. The permanence of the markings

3. The risk of infection

4. The possibility of allergic reaction to the pigments or other materials used. (Please notify artist if you are allergic to latex or any other materials)


I understand that I will receive a copy of the applicable written care instructions at the completion of each tattoo session. I hereby release Superchango and all of it’s associates, artists, and the owners from any and all claims of liability. Being of sound mind, knowing the risks associated with getting a tattoo, I agree to all of the above. I state that the identification I have given it’s mine and that I am at least 18 years of age. I know that it is against the law and I can be prosecuted for false ID.


First Client Name
First Name*
Last Name*
Phone*
First Client Date of Birth*
Date of Birth
First Client Artist
Which artist are you working with today? *
First Client Signature*
Second Client Name
First Name*
Last Name*
Client Date of Birth*
Date of Birth
Second Client Artist
Which artist are you working with today? *
Third Client Name
First Name*
Last Name*
Client Date of Birth*
Date of Birth
Third Client Artist
Which artist are you working with today? *
Fourth Client Name
First Name*
Last Name*
Client Date of Birth*
Date of Birth
Fourth Client Artist
Which artist are you working with today? *
Fifth Client Name
First Name*
Last Name*
Client Date of Birth*
Date of Birth
Fifth Client Artist
Which artist are you working with today? *
Sixth Client Name
First Name*
Last Name*
Client Date of Birth*
Date of Birth
Sixth Client Artist
Which artist are you working with today? *
Seventh Client Name
First Name*
Last Name*
Client Date of Birth*
Date of Birth
Seventh Client Artist
Which artist are you working with today? *
Eighth Client Name
First Name*
Last Name*
Client Date of Birth*
Date of Birth
Eighth Client Artist
Which artist are you working with today? *
Ninth Client Name
First Name*
Last Name*
Client Date of Birth*
Date of Birth
Ninth Client Artist
Which artist are you working with today? *
Tenth Client Name
First Name*
Last Name*
Client Date of Birth*
Date of Birth
Tenth Client Artist
Which artist are you working with today? *
Parent or Guardian's Email Address
Email
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Parent or Guardian's Driver's License / ID Card
Driver's License / ID Card Number*
Issuing State*
Click to upload ID
a photo of YOUR LEGAL ID, not a selfie *
  
Valid file types: JPG, GIF, PNG, and PDF
Client 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(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*
Date of Birth
Parent or Guardian's Artist
Which artist are you working with today? *
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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