If I have anemia, diabetes, epilepsy, hepatitis, hemophilia, HIV-AIDS or any other communicable disease, heart condition or take medicine which thins the blood I have advised my tattooers. I am not pregnant or nursing. I am not under the influence of alcohol or drugs
I do not have medical or skin conditions such as, but not limitied to acne, scarring(keloid), eczema, psoriasis, freckles, moles or sunburn in the area to be tattooed that may interfere with said tattoo
I acknowledge it is not reasonably possible for the representative and employees of SILVERPOINT TATTOO COMPANY CORP. to determine whether I might have an allergic reaction to the pigments or processes used in my tattoo, and I agree to accept the risk that such a reaction is possible
I acknowledge that infection is alway possible as a result of obtaining a tattoo, particularly in the event that I do not take proper care of my tattoo. I have received aftercare instructions and I agree to follow them while my tattoo is healing. I agree that any touch-up work needed, due to my own negligence will be done at my own expense
I realize that variations in colour and design may exist between any tattoo as selected by me and as ultimately applied to my body
I understand that if I have any skin treatments, laser hair removal, plastic surgery or other skin altering procedures, it may result in adverse changes to my tattoo
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, medical impairment or disability which might affect my well being as a direct or indirect result of my decision to have a tattoo
I acknowledge I am over the age of eighten (18) and that I have truthfully represented to my tattooer that the obtaining of a tattoo is by my choice alone. I consent to the application of the tattoo and to any actions or conduct of the representatives and employees of SILVERPOINT TATTOO COMPANY CORP. reasonably necessary to perform the tattoo procedure
I WAIVE AND RELEASE to the fullest extent permited by law each of the Artist(s) and SILVERPOINT TATTOO COMPANY CORP. 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 application of my tattoo, wether caused by the negligence or fault of either the Artist or SILVERPOINT TATTOO COMPANY CORP., or otherwise