I certify that the information above is true and correct to the best of my knowledge. I enter into this agreement of my free will, in a sober (drug and alcohol free) condition, and I certify that I am at least 18 years of age.
To induce BadIntentionz Tattoos LLC to tattoo or pierce me, and in consideration of their doing so, I hereby release BadIntentionz Tattoos LLC and its artists from all liability, claims, damages, lawsuits and demands, in law or equity, to the extent allowed by law, which I or my heirs might have now or hereafter arising from or for complying with my request.
I understand that any tattoo should be considered permanent; that it can only be removed with a surgical procedure and that any effective removal may leave scarring. Body piercing may leave scarring.
I understand that I will be tattooed using appropriate techniques to ensure proper healing. I agree to follow the aftercare procedures provided until healing is complete, and understand this type of tattoo takes 2 or more weeks to heal.
I further understand that even with appropriate techniques, instruments and the utmost care, infection is always possible, and I assume the risk of such infection regardless of its cause. I understand there is always the possibility of an allergic reaction to tattoo pigments and I assume that risk.
I acknowledge that I am not suffering from and have no history of: diabetes, allergies, AIDS, hemophilia, immune disorders, epilepsy, seizures, fainting, narcolepsy, reactions to pigments or dyes, discoloration, swelling, lumps, keloid scarring, skin diseases or lesions, sensitivities to soap or disinfectants, pregnancy or breast-feeding, or any condition that could make this procedure dangerous. I have disclosed any condition requiring medications such as anticoagulants that thin the blood or interfere with clotting, any other information that would aid the technician, and when I last ate.
The artist makes no warranties as to the meaning of any tattooed symbols or designs, and is not responsible for any complications due to mistreatment of the tattoo. The technician shall not perform a body art procedure if the client fails to complete and sign this disclosure and authorization form, and may decline to perform a procedure if the client has any identified health conditions.
I will contact a qualified health care professional at the first sign of abnormal inflammation, swelling or possible infection.