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In consideration of receiving a Tattoo from (Name of Artist) at(Name of Studio/Shop) Hard Luck Tattoo (together with it's employees, apprentices and independent agents or guests of the "Studio/Shop", in the County of San Joaquin within the State of California , I AGREE TO THE FOLLOWING That I, (clearly PRINT your name) have been fully informed of the inherent risks,associated with getting a tattoo. 1 fully understand that these risks,known and unknown, can lead to injury, including but not limited to infection, scarring,difficulties in detecting melanoma and allergic reactions to tattoo pigment, latex gloves, and/or soap. Having been informed of the potential risks Initial associated with getting a tattoo, 1 still wish to proceed with the tattoo application and I freely accept and expressly assume any and all risks that may arise from this action. TO WAIVE AND RELEASE to the fullest extent permitted by law each of the Artist and the"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 Initial application of my tattoo, whether caused by the negligence or fault of either the Artist, Studio, or otherwise. 1� The Artist and the Studio have given me the full opportunity to ask any and all questions about the application of my tattoo procedure and all of my questions have been answered to my total satisfaction. Initial The Artist and the Studio have given me instructions on the care of my tattoo or piercing while it's healing, and understand them and will follow them. I acknowledge that it is possible that the tattoo can become infected, particularly if I do not follow the instructions given to me. I agree that it is my responsibility to contact the Studio, Artist if there are signs and symptoms of infection, including, but not limited to, redness, swelling, tenderness of the procedure site, red streaks going from the procedure site towards the heart, elevated body temperature, or Initial purulent drainage from the procedure site If any touch-up work to the tattoo is needed due to my own negligence, I agree that the work will be done at my own expense. 0 I am not under the influence of alcohol or drugs, and I am voluntarily submitting to be tattooed by the Artist without duress or coercion. Initial do not have diabetes, epilepsy, hemophilia, herpes, history of cardiac valve disease, nor do I take blood thinning medication. I do not have any other medical or skin condition that may interfere with the application or healing of the tattoo. I am not the recipient of an organ or bone marrow transplant or, if I am, I have taken the prescribed preventive regimen of anti-biotics that is required by my doctor in advance of any invasive procedure Initial such as tattooing. I am not pregnant or nursing. I do not have a mental impairment that may affect my judgment in getting the tattoo. I do not have allergic reactions to latex. I do not have a history of allergic reactions to antibiotics, nor do I require antibiotics prior to surgery or dental procesures. Currently list of medications: Neither the Tattoo Artist nor the Studio is responsible for the meaning or spelling of the symbol or text that I have provided to them, chosen from the flash (design)sheets or drawn/designed by the artist by my direction. TEXT TO BE: Initial Variations in color and design may exist between the tattoo art I have selected and the actual tattoo when it is applied to my body. I also understand that over time, the colors and the clarity of my tattoo will fade due to Initial unprotected exposure to the sun and the naturally occurring dispersion of pigment under the skin.