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CONSENT TO APPLICATION OF TATTOO
AND RELEASE AND WAIVER OF ALL CLAIMS


Following is the basic form that must be read, signed and agreed to before receiving body art from Tats 2 Go. In addition, there is a parental consent form for those who are not at least 18 years of age. Even with the parental consent form, the parent must remain with the underaged person receiving the tattoo through the entire process.



I acknowledge by signing this agreement that I have been given the full opportunity to ask any questions which I might have about the obtaining of the tattoo from Iohn Beasley and that all of my questions have been answered to my full and total satisfaction. I specifically acknowledge that I have been advised of the facts and matters set forth below, and I agree as follows.

(1) I am not a hemophiliac (bleeder). I do not have diabetes, epilepsy, hepatitis, HIV, AIDS, or any other communicable disease. I am not under the influence of alcohol and / or drugs.

(2) I acknowledge that it is not reasonably possible for Iohn Beasley to determine whether I might have an allergic reaction to the pigments or process used in my tattoo, and I agree to accept the risk that such a reaction is possible.

(3) I acknowledge that infection is always possible as a result of obtaining a tattoo, particularly in the event that I do not take proper care of my tattoo, and I agree to follow all instructions concerning the care of my own tattoo while it is healing. I agree that any touch-up work needed, due to my own negligence, will be done at my own expense.

(4) I realize that variations in color and design may exist between any tattoo as selected by me and as ultimately applied to my body. I understand that, if my skin color is dark, the colors will not appear as bright as they do on light skin.

(5) I acknowledge that a tattoo is a permanent change to my appearance and that no representations have been made to me as to the ability to later change or remove my tattoo. To my knowledge, I do not have any physical, mental or medical impairment or disability, which might affect my well being as a direct or indirect result of my decision to have any tattoo-related work done at this time.

(6) I acknowledge that I have truthfully represented to Iohn Beasley that I am over the age of eighteen (18) years old, and that the following information is true and correct.

(7) I acknowledge that obtaining of my tattoo is by my choice alone and I consent to the application of the tattoo and to any action or conduct of Iohn Beasley reasonably necessary to perform the tattoo procedure.

(8) I agree to release and forever discharge and hold harmless Iohn Beasley from any and all claims, damages and legal actions arising from or connected in any way with my tattoo or the procedures and conduct used to apply my tattoo.

**YOU MUST BE AT LEAST 18 YEARS OLD**
PLEASE PRINT!!

Date: __________ Artist: Iohn Beasley
Name: _________________________________ Phone: ________________
Address: _______________________________ Date of Birth: __________
City: _____________State: ______Zip: ______ Age: _________________
Body Design & Location: __________________
SIGNATURE: ___________________________________

**********************PARENTAL CONSENT SIGNATURE IF NOT 18************************

I certify that I am the parent of the above named minor and do hereby provide my consent. I have read and agree to all the terms stated above. Furthermore I agree to release and forever discharge and hold harmless Iohn Beasley from any and all claims, damages and legal actions arising from or connected in any way with the tattoo or the procedures and conduct used to apply the tattoo to my minor child named above.


Name:________________________________ Date:___________________ Signature:______________________________