MINOR TATTOO

RELEASE Form

Full name of the individual to be tattooed: *

First

Last

Age *

PLEASE READ AND CHECK THE BOXES WHEN YOU ARE CERTAIN YOU UNDERSTAND EACH PROVISION AND THE IMPLICATIONS OF SIGNING THIS DOCUMENT. FEEL FREE TO ASK ANY QUESTIONS REGARDING THIS WAIVER.

In consideration of receiving a tattoo from RAD INK including its artists, associates, apprentices, or any employees I agree to the following:

I have been fully informed of the inherent risks associated with getting a tattoo. Therefore, I fully understand that these risks, known and unknown, can lead to injury including but not limited to: infection, scarring, difficulties in the detection of melanoma and allergic reactions to tattoo pigment, latex gloves and/or soap. Having been informed of the potential risks associated with getting a tattoo I wish to proceed with the tattoo procedure and application and freely accept and expressly assume any and all risks that may arise from tattooing. *

I understand.

I do not suffer from diabetes, epilepsy, hemophilia, heart condition(s), nor do I take blood thinning medication. I do not have any other medical or skin condition that may interfere with the procedure, application or healing of the tattoo. If I do, I have made my artist aware. *

I understand.

I am not the recipient of an organ or bone marrow transplant or, if I am, I have taken the prescribed preventative regimen of antibiotics that is required by my doctor in advance of any invasive procedure such as tattooing or piercing. *

I understand.

I am not pregnant or nursing. *

I understand.

I do not have a mental impairment that may affect my judgement in getting the tattoo. *

I understand.

I am not under the influence of alcohol or drugs, and I am voluntarily submitting to be tattooed by RAD INK without duress or coercion. *

I understand.

RAD INK has given me the full opportunity to ask any question about the procedure and application of my tattoo and all of my questions, if any, have been answered to my total satisfaction. *

I understand.

RAD INK is not responsible for the meaning or spelling of the symbol or text that I have provide to them or chosen myself. *

I understand.

RAD INK has given me instructions on the care of my tattoo while it's healing. I understand and will follow them. I acknowledge that it is possible that the tattoo can become infected, particularly if I do not follow the instructions given to me. If any touch-up work to the tattoo is needed due to my own negligence, I agree that the work will be done at my own expense. *

I understand.

I understand there is a possibility of getting an infection, and I have been advised of the signs and symptoms of infection that indicate a need to seek medical attention. *

I understand.

I agree to follow all instructions concerning the care of my tattoo. *

I understand.

I understand that there is a chance I might feel lightheaded or dizzy during or after being tattooed. *

I understand.

I agree to immediately notify the tattoo artist in the event I feel lightheaded, dizzy and/or faint before, during or after the procedure. *

I understand.

I am the person on the legal ID presented as proof that I am at least 18 years of age, or the tattoo will be performed in the presence of my parent or legal guardian. *

I understand.

A tattoo is a permanent change to my appearance and can only be removed by laser or surgical means, which can be disfiguring and/or costly and which in all likelihood will not result in the restoration of my skin to its exact appearance before being tattooed. *

I understand.

Variations in color and design may exist between the tattoo art I have selected and the actual tattoo when it is applied to my body. I also understand that over time, the colors and the clarity of my tattoo will fade due to unprotected exposure to the sun and the naturally occurring dispersion of pigment under the skin. *

I understand.

I release the right to any photographs taken of me and the tattoo and give consent in advance to their reproduction in print or electronic form. (For assurance, if you do not initial this provision, please inform RAD INK STAFF NOT to take any pictures of you and your completed tattoo). *

I understand.

I agree that RAD INK has a NO REFUND policy on tattoos, piercing and/or retail sales and I will not ask for a refund for any reason whatsoever. *

I understand.

I WAIVE AND RELEASE to the fullest extent permitted by law any person of RAD INK from all liability whatsoever, including but not limited to, any and all claims or causes of action that I, my estate, heirs, executors or assigns may have for personal injury or otherwise, including any direct and/or consequential damages, which result or arise from the procedure and application of my tattoo, whether caused by the negligence or fault of either RAD INK, or otherwise. *

I understand.

I agree to reimburse RAD INK for any attorneys' fees and costs incurred in any legal action I bring against RAD INK and in which either the Artist or the Tattoo Studio is the prevailing party. I agree that the courts of located in the County of Brevard within the State of Florida shall have jurisdiction and venue over me and shall have exclusive jurisdiction for the purposes of litigating any dispute arising out of or related to this agreement. *

I understand.

I acknowledge that I have been given adequate opportunity to read and understand this document that it was not presented to me at the last minute and grasp that I am signing a legal contract waiving certain rights to recover damages against RAD INK. *

I understand.

If any provision, section, subsection, clause or phrase of this release is found to be unenforceable or invalid, that portion shall be severed from this contract. The remainder of this contract will then be construed as though the unenforceable portion had never been contained in this document. I hereby declare that I am of legal age (and have provided valid proof of age and identification) and am competent to sign this Agreement. I HAVE READ THE AGREEMENT, I UNDERSTAND IT, AND I AGREE TO BE BOUND BY IT.

Minor Signature *

Minor Printed Name *

Minor Date of Birth *

Today's Date *

Current Address *

Upload form of identification (FRONT)

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Upload Notary Form *

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BELOW TO BE COMPLETED BY PARENT OR GUARDIAN.

Name *

First

Last

Signature *

Today's Date *

Date of Birth *

Address *

Parent / Guardian Identification *

Click or drag a file to this area to upload.

BELOW TO BE COMPLETED BY ARTIST

Name of Artist *

Artist Signature *

Tattoo Location *

Tattoo Description *

Name

MINOR TATTOO

RELEASE Form

BELOW TO BE COMPLETED BY PARENT OR GUARDIAN.

BELOW TO BE COMPLETED BY ARTIST

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