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Uy� <br /> WAIVER, RELEAS <br /> 114 <br /> `LEASE READ AND BE CERTAIN, <br /> NS OF SIG . <br /> .i ,. <br /> f-}lS DOCUMENT i5 TW <br /> t3 pAdSkPLEA8E1 "L�.. %S P " °YiDED AFi <br /> 1 . <br /> To SHOW THAI � • <br /> In consideration of receiving a tattoo frorn Robart- en at"The Rouen &Art e "(toget <br /> it's employees,apprentices,, and agents), I agree to the following: ' <br /> _ __{clearly PRINT your name)have be�h;#uldy 1h o._ t risks, <br /> That i � ding, <br /> associated with getting a tattoo I fully understand that these risks,known and r Atex <br /> but not limited to infection,scarring,difficulties detecting melanoma,and allergin ` <br /> gloves,and/or soap,Having been informed of the potential risks associated with om <br /> proceed with the tattoo application and l freely accept and I expressly assume any <br /> tattooing. <br /> .x <br /> ,amu � . , " ; .>•.fl���" . <br /> TO WAIVE AND RELEASE to the fullest extent peirltitted by law each of the Artist ando Studio from all liability <br /> whatsoever,for any and all claims or0a,that 1,rtit estate,�execut�'� Y <br /> have for <br /> entraf � or arl�MM <br /> r personal Injury or otherwise,includino�t t M�:,, <br /> application of my tattoo,whether caused by neg)I Studt+a,`or otherwise. <br /> the <br /> That both the:l3rtist and Tattoo Studio have givenrttetheft it WM ask any and all questions about the <br /> application of`my'tattoo,and all my questions ha��t <br /> rt <br /> �I satisfaction <br /> ter a` frRa <br /> `5 x P 8 } <br /> The Artist and the Tattoo Studio have given me instructions on the care of my tattoo while it is healing,and I tr <br /> understand them and will follow them.i acknowledge that it is possible that the tattoo can be become in ec <br /> =particularly if_I do not follow the Instructions given to me,If any touch-up work to the tattoo is needed due to IpX <br /> my <br /> negligence,I agree that the work will be done at my own expense. - <br /> .60-4'aA,5,6k T <br /> hln� <br /> I am not und�l' <br /> duress or Cobh , <br /> orltAcz 40- <br /> Mark oily ; <br /> E <br /> . � <br /> r �e� sx <br /> to <br /> antibioticst <br /> t� <br /> � - r other bleeding disorders � <br /> disease E <br /> txtents for antibiotics prior to surgery or dental procedures <br /> ;t "ation <br /> ex .xm ors for blood borne pathogen&_ <br /> g� the prescribed antativE <br /> n organ or boCt �,". <br /> .. <br /> adva <br /> that is required: nce ityor <br /> lh U <br /> have amental impairment that M t rttyAm <br /> e <br /> t <br /> .. '� � f r•i5'. f {'�'4+. <br />