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)years _ being eighteofthesameasWl_s:> :f d n: . fbf>e understand ars have received training in the by'"12 bsmikrys Tattoos'w an agent of employee of the same as follows: TaZ:.o+feei,—*Tnsn. locatiwt: Artst:: price; II set up and breado�rr�II procedure. i M%-erstaad'22&',ankeys Tattoos'has taken appropriate steps to ensure sanitary conditions for said tattoo.More speciricatly,l ol'o led the areas txtow indicating: Qnf1`srtgk use sterile needles m used,and are disposed of in a medical sharps container after every tattoo. . . use per customer. u.,,... _ �.I vnde:T.and;hat inks are not FDA approved and heahh consequences m tmknown. ,- in - ,and u e Stan `safe,sanitary maintenance. 1 acknowledge by signing this agreement that I have been given the fug opportunity to ask any and all questions which I might have and that all of my questions have been answered to my full sausfattion.I specifically acknowledge I have been advised of the matter Signature Date set forth below and agree as follows: l t am no;pregnanat or nursing.1 don't have epilepsy or hemophilia.i do Trot suffer from any heartconditions,.t do not take any blood thinning medications 2.N 1 softer from hepatitis or any other communicable disease,I have informed the tattooist of this fact and have been advised by my rotor of any medications and procedures necessary to promote the satisfactory heating of my tattoo. >.I do not suffer from Tried loot or skirt conditions such as but not greeted to:kelcdding,hypertrophic scarring,or psoriasis at the site of the=oo,or any open wounds or lesions at the site of the tattoo. q..1 have advised the tattoo artist of any allergies to metals,latex,soaps,cleansers,or medications.I acknowledge is is not ,... .reasonably,possible for the tattoo artist to determine whether I might have an all g allergic reaction to she process involved len the a^ro and further acknowledge that such a reaction is possible. :.5..1 have truthfully represented to the tattoo artist that t am over the age of 18,Tears. i.iam not,sender the influence of drugs or alcohol.To my knowledge I do not have any physical,mental or medical.impairment or co ability which might affect my wet]being as a dined or Indirect result of my decision to have a tattoo done at this time. a:know3edge that obtaining a tattoo is my choice along and wig mtoit in a change to my appearance,and that no represen or—has been made to me as to the ability to toter restore the skin involved in this tattoo to its pre tattooed condition. 8 3 A, ,knol,viecille,that infection is always possible as a result ob obtaining a tattoo and agree to follow all ipstroctions tuncemlog the of my tattois whue tt is healing. agree to pay the above price in full at the time services are rendered,in consideration for;he tattoo services performed at my requlr,i release'22 Monkeys Tattoos'and any of its employees,agents,contractors,or assigns thereof,from all riaims and rights of act ams of any land which I now have or which may accrue,arising out of the above described tattoo servioes and related activities, ` rgi,c:ng but not limited to:claims of personal injury,property,damage and other losses incurred as a recuit(dirCCt or indirect}of sem:Yattot+services,inducting injuries,damages and losses which are presently known as well as those which may develop or be diteen'eried in Stye future:I.further waive all of said claims and rights of action.I have read this document:and understand the prycesomand any potential risks thereof and agree to all of its contents.I represent that all information provnded by cave on this " * tl ' c �aY dz! hs t