DOING WHAT WE LOVE SINCE 2002

tattoo appl test

APPLICATION FOR TATTOO


APPLICATION MUST BE COMPLETED IN FULL
and hereby acknowledge that I have been given full opportunity to ask any all questions which I might have about obtaining a tattoo from "INDUSTRIAL ART" and that all my questions have been answered to my full and total satisfaction

MEDICAL HEALTH HISTORY

(Please read first, then initial before each sentence)

I do not have diabetes.
I am not pregnant or nursing.
I do not have epilepsy or hemophilia
I do not have any allergies to metal, latex, soap, and/or medications
I do not suffer from any heart conditions or take any medication that thins my blood
I am not under the influence of alcohol or drugs
I do not have any physical, metal or medical impairment or disability, which might affect in a direct or indirect way my decision to have a tattoo done at this time

CONSENT, RELEASE AND WAIVER OF ALL CLAIMS

(Please read first, then initial after each sentence)

I specifically acknowledge the following:

Obtaining this tattoo is my choice alone and will result in a permanent change to my appearance, and that "NO" representation has been made to me as to the ability to later restore the skin involved in this tattoo to it is pre-tattoo condition.
It is not reasonably possible for the tattoo artist determine whether I might have an allergic reaction to the tattoo or processes involved in it and further acknowledge that such reaction is possible
Infection is always possible as a result of obtaining a tattoo
I realize that i have the alternative not to get this tattoo and therefore, I give consent to my tattoo artist named in section 1 to tattoo my
I understand this tattoo usually takes 2 weeks or longer to heal. I agree to release and forever discharge and hold harmless the tattoo artist, all employees and owners from any and all claims, damages or legal actions arising from or connected in any way with my tattoo or procedure and conduct used in the same

RECOMMENDED CARE OF NEW TATTOO

1.- Keep bandage on overnight

2.- Remove bandage, wash tattoo with antibacterial soap and water and pat dry

3.- Do not use any oily products such "Vaseline"

4.- Use only a thin layer of recommended tattoo healing lotion "A&D Ointment" 2 or 3 times daily for 3 weeks

5.- Do not re-bandage tattoo.

6.- Do not pick or scratch tattoo.

7.-Do not expose tattoo to direct sunlight for the first 2 weeks.

8.- Do not go swimming for the first 2 weeks

9.- Do not soak tattoo in the bath or sauna.

10.- Do not shave over tattoo while it is healing.

11.-Extreme pain, large amount of pus discharge, discoloration of skin and deep scabs or scaring are some signs and symptoms of infection, if those occur, please consult with a physician

(Remember that the life of your tattoo depends on the care that is receives within the first 2 weeks)

After reading and understanding the above aftercare instructions , I agree to follow all instructions concerning the care of my tattoo while it is healing.

**By entering your name in the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge**
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