First Name *

Last Name *

Email *

Phone *

Address

City

State

Postal/Zip

Date of Birth *

Age*

Form of Identification Provided *

Your Artist *

Tattoo Location*

Description of TATTOO

Please upload a picture of your I.D. (Identification) *

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 Agree / Consent

I WAIVE AND RELEASE to the fullest extent permitted by law any per on of the Tattoo Studio from all liability whatsoever including but not limited to any and all claims or causes of action that I, my estate, heirs, executors or assign may have for personal injury or otherwise including any direct and/ or consequential damage which result or ari e from the procedure and application of my tattoo, whether caused by the negligence or fault of either the Tattoo Studio or otherwise. *

I Agree / Consent

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

I Agree / Consent

The Tattoo Studio 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 i needed due to my own negligence, I agree that the work will be done at my own expense. *

I Agree / Consent

I am not under the influence of alcohol or drug , and I am voluntarily submitting to be tattooed by the Tattoo Studio without duress or coercion. *

I Agree / Consent

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 kin condition 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 antibiotic that is required by my doctor in advance of any invasive procedure such as tattooing or piercing. I am not pregnant or nursing. I do not have a mental impairment that may affect my judgement in getting the tattoo. *

I Agree / Consent

A tattoo is a permanent change to my appearance and can only be removed by la er 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 Agree / Consent

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 the Tattoo Studio NOT to take any picture of you and your completed tattoo). *

I Agree / Consent

I agree that the Tattoo Studio 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 Agree / Consent

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

I Agree / Consent

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 the Tattoo Studio. *

I Agree / Consent

If any provision, section subsection, clause or phrase of this release i found to be unenforceable or invalid, that portion shall be severed from this contract. The remainder of this contract will then be con trued 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 l AGREE TO BE BOUND BY IT. *

I Agree / Consent

Crea8tive Soul legal basis for collecting and using the personal information described in this Privacy Policy depends on the Personal Information we collect and the specific context in which we collect the information: Crea8tive Soul needs to perform a contract with you; You have given Crea8tive Soul permission to do so; Processing your personal information is in Crea8tive Soul legitimate interests Crea8tive Soul needs to comply with the law Crea8tive Soul will retain your personal information only for as long as is necessary for the purposes set out in this Privacy Policy. We will retain and use your information to the extent necessary to comply with our legal obligations, resolve disputes, and enforce our policies. *

I Agree / Consent

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