Waiver « Ink Is Art Tattoo Lounge

IF YOU ARE COMING FOR A CONSULTATION - DO NOT FILL THIS OUT!

Today’s date *

Your full name *

Date of Birth DD/MM/YYYY *

if under 18 we require government issued photo id of both parent/legal guardian and minor

photo health card - drivers license etc no school id's are accepted. if last names dont match we require the same house address on both IDS

Address *

Country

City

State

Zip code

Email *

Phone *

Please indicate the procedure your receiving *

Tattoo

Laser Tattoo Removal

Piercing

Cosmetic Tattoo

What is your Scheduled Procedure Date? *

Do you live or work in an area currently in lockdown.

If yes- Unfortunately we will need to reschedule this appointment until the restrictions are lifted. Please call the studio 905-665-9305

Yes

Do you have any CUTS, SCRATCHS, BUG BITES, RASH, ABRAISIONS OF ANY KIND , OR BURNS WITHIN 6 INCHES OF THE TATTOO AREA -? *

PLEASE CHECK NOW BEFORE YOU GO ANY FURTHER WITH THIS WAIVER - WE CAN NOT TATTOO WITH ANY OF THESE SKIN CONDITIONS NO MATTER HOW MINOR!

YES -if you do - please stop now and call us to reschedule your appointment - we can not tattoo if this is the case

Due To COVID we are requesting that the waiver be submitted within 24 hours prior to your tattoo apt

We request if you are feeling unwell – even if you think it might just be a cold- to please reschedule your tattoo apt. For the safety of our artists, staff and others who may be attending our facility.

Please check off any symptoms that apply to you *

Do you have any of the following new or worsening symptoms? Symptoms should not be chronic or related to other known causes or conditions.

Fever

Sore throat, trouble swallowing

Cough

Not feeling well

Difficulty breathing

Loss of taste or smell

Nausea, vomiting or diarrhea

Runny nose unrelated to pre-existing condition (e.g. allergies)

None of the above

Have you returned from any travel outside Ontario in the last 14 days *

Yes

IF YOU ARE UNDER 18YRS OLD - BOTH PARENT/LEGAL GUARDIAN WILL NEED TO PROVIDE ID WITH MATCHING ADDRESS UPON ARRIVAL TO THE STUDIO *

I am 18 years old OR Older. 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 my parent/guardian has also gone over this waiver and agrees to its conditions entirely. I have given permission to get a tattoo at Ink Is Art Tattoo Lounge

FOR PIERCING ONLY -I am UNDER the age of 16 and have my parent (mother/father) or legal guardian here with me they have also gone over this waiver and agree to its conditions entirely.

Have you been in close contact with someone who is confirmed COVID-19 or probable (symptoms+ exposure) in the past 14 days without wearing appropriate PPE *

Yes

Tattoo waiver- in consideration of getting tattooed @ ink is art please - fill out the form below

PLEASE CHECK EACH -AFTER READING TO SHOW THAT YOU UNDERSTAND EACH PROVISION. In consideration of receiving a tattoo Ink Is Art Tattoo Lounge,( here and after collectively referred to as the Tattoo Studio)

PLEASE NOTE: By clicking submit (below) you (If under 18, your legal guardian) agree to all terms set forth in this waiver and agree to proceed with a tattoo by an artist at Ink Is Art Tattoo Lounge.

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