Tattoo Consent Form | Giaroseroart

I am above 18 years old Required

Yes, I am

I was well informed about the tattoo artist's service dog on the premises with due advance notice.

I am not under the influence of alcohol or drugs.

I have eaten in the last two (2) hours.

I have looked over my design, checked the spelling if applicable, and give my full consent to the application of my tattoo.

I am not pregnant or breastfeeding.

I acknowledge that I am free of communicable disease.

I do not suffer from diabetes, epilepsy, hemophilia, heart condition(s), nor do I take blood thinning medication.

I do not suffer from skin conditions that may interfere with the procedure, application or healing of the tattoo.

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.

I acknowledge it is not reasonably possible for Sheyla G. Rosero and her representatives to determine whether I might have an allergic reaction to the dyes, pigments, or processes used in my tattoo and I agree to accept that such risks are possible.

I acknowledge that infection is always possible as a result of obtaining a tattoo particularly in that event that I do not take proper care of my tattoo, and I have been advised of the signs and symptoms of infection that indicate a need to seek medical care.

I acknowledge receipt of written instructions advising me of proper care of my tattoo and recognize the absolute necessity of following those written instructions. All questions about the body art procedure have been answered to my satisfaction.

I acknowledge that variations in color and design may exist between any tattoos as selected by me and as ultimately applied to my body.

I acknowledge that tattooing is a permanent change to my appearance and that no representations have been made to me as to the ability to later change, alter or remove my tattoo.

I acknowledge that the obtaining of my tattoo is my choice alone and I consent to the application of the tattoo and to any actions or conduct of Sheyla G. Rosero or her representatives that are reasonable necessary to perform the tattoo procedure.

I understand that Sheyla G. Rosero is self-employed and agree to release and forever discharge and forever hold harmless Sheyla G. Rosero and her representatives from any and all claims, damages, or legal actions arising from or connected in any way with my tattoo or the procedures and conduct used to apply my tattoo and any and all tattoos applied by Sheyla G. Rosero in the future.

I acknowledge that tattoo inks, dyes and pigments have not been approved by the federal Food and Drug Administration and the health consequences of using these products are unknown.

I acknowledge that there is a chance I might feel lightheaded, dizzy during or after being tattooed. I agree to immediately notify Sheyla G. Rosero I feel lightheaded, dizzy and/or faint before, during or after the procedure.

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 Sheyla G. Rosero or her representatives NOT to take any pictures of you and your completed tattoo).

I agree to follow all instructions concerning the care of my tattoo, and that any touch-ups needed because of my own negligence will be done at my own expense.

Payment mode: Required

Hourly rate: $

Per project: $

GIA
ROSERO

Tattoo Release Form

Please take a picture of your a valid State or Federal Photo ID or Passport.