Tattoo Release Form Name * First Name Last Name Email * Phone * (###) ### #### Tattoo Description * Please include placement and size along with a description Risk of Infection I understand that although proper sterilization and hygiene procedures are followed, there is always a risk of infection. It is my responsibility to follow the provided aftercare instructions to minimize this risk * Type initials below Allergic Reactions I understand that tattoo pigments, needles, and cleaning agents may cause allergic reactions in some individuals. These reactions may occur immediately or develop over time. I accept full responsibility should I experience an allergic response * Type initial below Scarring and Skin Texture Changes I acknowledge that scarring, keloids, or changes in skin texture are possible outcomes, especially if the area is not properly cared for or if I have a known predisposition to such conditions. * Type initials below Ink Discoloration and Fading I understand that tattoo ink colors may fade over time due to sun exposure, skin type, ink composition, and placement. I also acknowledge that healing can result in inconsistent or altered appearance, which may require a touch-up. * Type initials below Medical Conditions and Medications I confirm that I have disclosed any relevant medical conditions, skin issues, or medications that may interfere with the healing process or increase risk during the tattoo procedure (e.g., diabetes, blood thinners, acne treatments, etc.). * Type initials below Permanent Nature of Tattoos I understand that tattoos are permanent body modifications. While removal options exist, they are expensive, painful, and may not fully erase the tattoo or may result in permanent scarring. * Type initials below Informed Consent I affirm that I am of sound mind and not under the influence of alcohol or drugs. I have had the opportunity to ask questions and fully understand the nature of the tattoo procedure and its risks. * Type initials below Non-FDA Approved Inks I acknowledge that the pigments used in tattooing are not approved by the U.S. Food and Drug Administration (FDA), and that potential long-term side effects are unknown. * Type initials below Please type below any medical conditions, medications, or allergies and explain any in detail please * If nothing type “none” Are you under the influence of any substance currently * Yes No I acknowledge that I am voluntarily choosing to receive a tattoo and that I have not been coerced, pressured, or misled into undergoing the procedure. I understand that tattooing is an invasive procedure and that risks such as infection, allergic reaction, scarring, inconsistent results, and pigment fading or migration are inherent and may occur despite the use of proper techniques and sterilization. I affirm that I have disclosed all medical conditions, allergies, and medications that may affect the tattoo procedure or healing process. I understand that withholding relevant information may increase risk and waive my right to hold the artist or studio liable. I understand that the artist may decline to proceed with the tattoo if they believe it poses a medical, ethical, or professional concern. I accept that final judgment is at the artist’s sole discretion. I confirm that I have reviewed and approved the final tattoo design and placement. I understand that once the tattoo process begins, adjustments may not be possible and I accept the outcome as final. I agree to waive and forever release the tattoo artist, any studio employees, affiliates, agents, and the premises owner from any and all claims, liabilities, damages, or legal actions—whether known or unknown—that may arise from the tattoo procedure, including those related to negligence (except in cases of gross negligence or intentional harm). I understand that results vary based on skin type, location, ink retention, and healing. No guarantees have been made regarding the longevity, color, clarity, or appearance of my tattoo after healing. I certify that I am at least 18 years old, of sound mind, and legally capable of signing this release. If I am under 18, I am accompanied by a parent or legal guardian who is also signing this form. I have read and understand this entire release. I acknowledge that I am signing this waiver voluntarily, without duress, and that it is legally binding. * Type initials below What artist are you working with? * Ed Zimmer Jonesy Ambur Dawn Done