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Only fill out this form if you have already made the deposit payment via e-transfer or in person. If you need to make your deposit payment, please contact us at inquiries@badinkfluencetattoos.com and we will provide you with the necessary information to proceed.

TATTOO DEPOSIT POLICY

All scheduled tattoos require a minimum $50 deposit. For larger tattoos or tattoos that require more time, the deposit amount may be greater (to be determined by the tattoo artist).

RESCHEDULING POLICY

You can only reschedule once. If you need to reschedule your appointment there is no fee required, however if you need to reschedule the same appointment a second time, your deposit will be forfeited to the artist and you will need to pay another deposit upon rescheduling.  

SKIN DAMAGE

You acknowledge that if you arrive to your appointment with damaged or altered skin (THIS INCLUDES ANY AND ALL NUMBING CREAMS) to the extent that you cannot be tattooed (this is determined at the discretion of the artist), you understand that your deposit will be forfeit to the artist for their lost time. 

RIGHT TO REFUSE SERVICE

Bad Inkfluence Tattoos will NOT tolerate any form of abuse, violence, or inappropriate behaviours in the studio, outside of the studio directed at our staff or other clients. Bad Inkfluence Tattoos reserves the right to refuse services and if you are refused services, your deposit will be forfeit and you will no longer be welcome at the studio. 

I Agree

PLEASE READ CAREFULLY

I acknowledge by signing this agreement that I have been given the full opportunity to ask any and all questions which I might have about the obtaining of a tattoo and that all of my questions have been answered to my full satisfaction. I specifically acknowledge that I have been advised of the facts and matters set forth below and I agree as follows:

  • A tattoo is a form of body modification where a design is made by inserting ink, with a sterile needle, into the dermis layer of the skin to change the pigment.
  • If I have diabetes, epilepsy, hepatitis, hemophilia, HIV-AIDS, or any other communicable disease, heart condition or take medicine which thins the blood I have advised my tattooist. I am not pregnant or nursing. I am not under the influence of alcohol or drugs.
  • I do not have medical or skin conditions such as but not limited to: acne, scarring (Keloid), Eczema, psoriasis, rash, infection, lesion, freckles, moles or sunburn in the area to be tattooed that may interfere with said tattoo. If I have any type of infection, rash, or lesion anywhere on my body, I will advise my tattooist.
  • I have not been out of the country in the last 14 days, and do not feel any symptoms relating to the coronavirus disease.
  • 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 have received aftercare instructions and I agree to follow them while my tattoo is healing. I agree that any touch-up work needed, due to my own negligence or failure to follow such instructions, will be done at my own expense.
  • I realize that variations in color and design may exist between any tattoo as selected by me and as ultimately applied to my body. I understand that if my skin color is dark, the colors will not appear as bright as they do on light skin.
  • I understand that if I have any skin treatments, laser hair removal, plastic surgery or other skin altering procedures, it may result in adverse changes to my tattoo.
  • 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. To my knowledge, I do not have a physical, mental or medical impairment or disability which might affect my well-being as a direct or indirect result of my decision to have a tattoo.
  • I acknowledge I am over the age of eighteen or have parental consent and that I have truthfully represented to my tattooist that the obtaining of a tattoo is by my choice alone. I consent to the application of the tattoo and to any actions or conduct of the representatives and employees of the tattoo shop reasonably necessary to perform the tattoo procedure.
  • I understand that the tattoo artist reserves all rights to use any photos of my tattoo taken during the session. I understand the tattoo will take 3-4 weeks to heal.


For minors receiving a tattoo (16 or 17 years of age):

  • The minor must be at least 16 years of age and accompanied by their parent or legal guardian during the tattoo appointment. 
  • Both the minor child and their parent or legal guardian must submit proof of their identity by producing a government-issued photo identification.
  • The parent or legal guardian must submit proof that they are the parent or legal guardian of the minor child.
  • The parent or legal guardian must submit their written consent by filling out our tattoo waiver on the day of the appointment.

Please respect our studio and our artists:

  • Please check-in at the front desk before proceeding into the tattoo area.
  • No animals are allowed in the tattoo establishment, unless it is a service animal with proper documentation.
  • Any person under the age of 18 who is not receiving a tattoo is not allowed in the tattoo area. Your children are not an exception to this rule.
  • We understand that you may want to bring a friend with you. We allow ONE friend to join you for your tattoo. Please do not bring your entire entourage.
  • Do not touch fresh tattoos, or remove bandages in the tattoo studio; our artist will assist you if needed.


I hereby release and forever discharge and hold harmless, Alicia Clarke, and/or TJ King, the Tattooists, from any and all claims, damages or legal actions arising from or connected in any way with my tattoo, or the procedure and conduct used in performing my tattoo, to the fullest extent allowed by the law.

By signing below, I agree that I have read the Tattoo Release Form (Consent to Tattoo Procedure) provided by Bad Inkfluence Tattoos and agree to its terms.


January 3, 2025




First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Second Participant's Date of Birth*
Second Participant's Signature*
Third Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Third Participant's Date of Birth*
Third Participant's Signature*
Fourth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Fourth Participant's Date of Birth*
Fourth Participant's Signature*
Fifth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Fifth Participant's Date of Birth*
Fifth Participant's Signature*
Sixth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Sixth Participant's Date of Birth*
Sixth Participant's Signature*
Seventh Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Seventh Participant's Date of Birth*
Seventh Participant's Signature*
Eighth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Eighth Participant's Date of Birth*
Eighth Participant's Signature*
Ninth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Ninth Participant's Date of Birth*
Ninth Participant's Signature*
Tenth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Tenth Participant's Date of Birth*
Tenth Participant's Signature*
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.
Participant's 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(s) or Court-Appointed Legal Guardian(s) agrees that they are also subject to all the terms of this document, as set forth above.

Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Relationship*

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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