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Consent & Waiver Form
Your full name
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Your address
Street Address
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Newfoundland and Labrador
Northwest Territories
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Your date of birth
MM slash DD slash YYYY
Emergency Contact Information
Please provide an emergency contact.
Emergency contact name
(Required)
First
Phone number
(Required)
Relation
(Required)
Consent Agreement
Please review each section listed below.
INFORM
(Required)
That I have been fully informed of the inherent risks, associated with getting a tattoo.
I fully understand that these risks, known and unknown, can lead to injury, including but not limited to infection, scarring, difficulties in detecting melanoma and allergic reactions to tattoo pigment, nitrile gloves, and/or soap, I still wish to proceed with the tattoo application, and I freely accept and expressly assume any risks that may arise from tattooing.
WAIVE
(Required)
To waive and release to the fullest extent permitted by law.
I waive and release to the fullest extent permitted by law each of the Artists and Tattoo Studio from All Liability whatsoever for any 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 application of my tattoo, whether caused by the negligence or fault of either the artist or the tattoo studio or otherwise.
QUESTIONS
(Required)
I have been given the full opportunity to ask any and all questions.
I agree that both the artist and the tattoo studio have given me the full opportunity to ask any and all questions about the application of my tattoo and all of my questions have been answered to my total satisfaction.
INSTRUCTIONS
(Required)
I have been given instructions on the care of my tattoo.
The artist and the tattoo studio have given me instructions on the care of my tattoo while it’s healing, and I understand them 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 tattoo is needed due to my own negligence, i agree that the work will be done at my own expense.
INFLUENCE
(Required)
I am not under the influence of alcohol or drugs.
I am voluntarily submitting to be tattooed by the artist without duress or coercion.
MEDICAL
(Required)
I do not have diabetes, epilepsy, hemophilia, a heart condition, nor do I take blood thinning medication.
I do not have any other medical or skin condition that may interfere with the application or healing of the tattoo. I am not pregnant or nursing. I do not have a mental impairment that may affect my judgment in getting the tattoo.
PHOTOGRAPHY
(Required)
I release all rights to any photographs taken of me and the tattoo.
I give consent in advance to their reproduction in print or electronic form.
SPELLING
(Required)
Neither the Artist nor the Tattoo Studio is responsible for the meaning or spelling of the symbol or text.
That I have provided to them or chosen from the flash (design) sheets. Proofs are to be approved before the appointment and the artwork approved is what is being tattooed.
TOUCH-UPS
(Required)
Touch-ups aren’t always necessary, I know how my work heals.
So make sure you take proper care of your tattoo, I will know if it wasn’t taken care of properly. Touch-ups after six months are a $160 fee.
LEGAL
(Required)
I acknowledge that I have been given adequate opportunity to read and understand this document.
I acknowledge that it was not presented to me at the last minute, and I understand that I am signing a legal contract waiving certain rights to recover against the artist and the tattoo studio.
FADING
(Required)
Variations in colour/design may exist between the art I have selected and the actual tattoo.
I also understand that over time, the colours and the clarity of my tattoo will fade due to the natural dispersion of pigment under the skin. Remember, the skin changes, not the ink, so take care of your tattoo.
PERMANENT
(Required)
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.
DECLARE
(Required)
I hereby declare that I am of legal age (and have provided valid proof of age) and am competent to sign this Agreement.
RATES
Studio Rates - Theodore, Sask $200 / hour (taxes included) 1 hour minimum || Convention Rates - Anywhere Half Day Rate $850 (taxes included) 3-4 hours included || Full Day Rate $1700 (taxes included) 6-8 hours included
Aftercare
The first 2 hours after you take you bandage off are the most important as it is still an open wound so be very careful of any dirt, especially animal hair. Once you take the bandage off, do not apply moisturizer for the first 24 hours, after that, only moisturize when the tattoo is dry to the touch, a drier tattoo is a healthier tattoo. There may be redness from where the bandage was as it is an extremely strong adhesive, but this pigmentation will return excess glue residue from the bandage, just let it naturally fall off. DO NOT scrub it off as the skin over the tattoo is still very thin and fragile.
Second skin - leave the bandage on for a minimum of 24 hours for ideal healing. Leave the bandage on for 7 days; after 7 days, take the bandage off in the morning. Give it a light wash (NO SCRUBBING) then let it air dry.
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GET IN TOUCH
koalatinkstudio@gmail.com
12 Armstrong Street, Theodore, SK
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