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PLEASE CHECK EACH -AFTER READING TO SHOW THAT YOU UNDERSTAND EACH PROVISION. In consideration of receiving a tattoo or piercing at Ink Is Art Tattoo Lounge,( here and after collectively referred to as the Tattoo Studio)
Select one
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I am at least 18 years old. And hereby declare that I am of legal age (and have provided valid proof of age) and am competent to sign this Agreement
\"I am between the ages of 16-18 and have my parent (mother/father) or legal guardian here with me, we have provided valid id, my parent/guardian has also gone over this waiver and agree\'s to its conditions entirely. and i have given permission to get a tattoo at Ink Is Art Tattoo Lounge, my parent/guardian will also be signing this waiver
PLEASE LIST ANY/ALL MEDICATIONS YOU ARE CURRENTLY TAKING
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Please check each box to agree
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I have been fully informed of the inherent risks, associated with getting a piercing. I fully understand that these risks, known and unknown, can lead to injury, including but not limited to infection, scarring and keloiding, allergic reactions to jewelry, latex gloves, and/or soap. Having been informed of the potential risks associated with getting a piercing, I still wish to proceed with the piercing and I freely accept and expressly assume any and all risks that may arise from piercing.
TO WAIVE AND RELEASE to the fullest extent permitted by law each of the Artist and the Piercing Studio from all liability whatsoever, for any and all claims or causes of action that I, my estate, heirs, executors or assigns may have for personal injury or otherwise, including any direct and/or consequential damages, which result or arise from the piercing, whether caused by the negligence or fault of either the Artist or the Piercing Studio, or otherwise.
That both the Artist and the Piercing Studio have given me the full opportunity to ask any and all questions about the piercing procedure and the staff has answered these questions to my total satisfaction.
I affirm that both the Artist and the Piercing Studio have given me instructions on the care of my piercing while its healing and I understand them and will follow them. I acknowledge that it is possible that the piercing can become infected, particularly if I do not follow the instructions given to me.
I affirm that I am not under the influence of alcohol or drugs, and I am voluntarily getting a piercing without duress.
I affirm that I do not have diabetes, epilepsy, hemophilia, nor do I have a heart condition or take blood thinning medication. I do not have any other medical or skin condition that may interfere with the procedure or healing of the piercing. I am not the recipient of an organ or bone marrow transplant or, if I am, I have taken the prescribed preventive regimen of antibiotics that is required by my doctor in advance of any invasive procedure such as piercing.
I am not Pregnant or Nursing.
I acknowledge that the piercing will result in a permanent change to my appearance and that my skin may not be restored to its pre-piercing condition even after its removal.
I release all rights to any photographs taken of me and the piercing and give consent in advance to their reproduction in print or electronic form. (If you do not initial this provision, please advise and remind your Artist and the Piercing Studio NOT to take any pictures of you and your completed piercing!).
I agree to reimburse each of the Artist and the Piercing Studio for any attorney fees and costs incurred in any legal action I bring against either the Artist or the Piercing Studio and in which either the Artist or the Piercing Studio is the prevailing party. I agree that the courts of Ontario Canada shall have personal 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 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 I understand that I am signing a legal contract waiving certain rights to recover against the Artist and the Piercing Studio.
PLEASE NOTE: By clicking submit (below) you agree to all terms set forth in this waiver and agree to proceed with a piercing by an artist at Ink Is Art Tattoo Lounge
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