COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

j � l L Lj! �� LF u OO N'S MI T O al'1 PL ICA'�' IN OLS ii A1 L OO RLLIIASIRL RELUsSE AMID KR rY Ori7 r. . GLkYETWI I aeiwotariedge by signing ti is Foran, that € have been given €he Era€i opportunity to ask any and ail cinestions which i Haight have about the obtaining ofa tattoo, from ThWS iN&f, and all of my questions have been answered to nay frill and total safisfacdon. I speciizcaply acknowledge that i have been advised of the facts and matters set forth below, and 3 agree as foLov✓s: s' hal _aai each- stems below: ad€ieowledge 3 arta not pregnant .• I acini- owledge that I am free front communicable diseases _H acirnowledge that I have beet `nthfully represented to the employe es, ageuats and =epIre senuaLive s of elirinS 3Nl{, that I aha ever l3(eightean) years old. _ < aet-."ov✓tedgetlaatitisnat- Yea so3ablyf3ossibeefor herep resaanM-'tavesaademployeesafTHUY'S Iiii [•> to deve rsaaine she ;saes r, iWght beve an aaterMc reacidon to tae dyes, pigmaeats or processes arced is - ,Pr tattoo, and I agree to accept that this risl.- is a passbbMP* 3r. _ l aclxiiowledge that bnEecraons is always a possibiilityas as result of obtaining an to moo, particularly 3= 41e event that:l do iaottaue proper care ofmmytang aa _ i aCRmowledge receipt of the written instruction advising ..a,e ofhe proper care of my tar too.and I recog5�=tee 6use abso�iuee >3eeessity ror Er,3lawarag moose i;Zsisuecvmras. - 3 aelsnovJledge that variat,an in color and design may eNist between any tattoa selected by ane aEqd EIS ziltarriate's_y applied to wy ,body. ad=ewledge tbW a tattoo is a permanent change to my appearance and that no representations 37 u ve been made to ase as to the ability to later change or remove nay tattoo(s). — i ae siiowledge that the obtaining of cavy tattoo is by my choice alone and I consent to the Old +caEaaii oEtme attar and to any actions or conduct of tie eanployees of B kftr�"S 5N5=, reasonably a=_ssa y to perform. the tattoo procedeare. — II agree to release and forever discharge and hold harmless, ,HOPS INHand i€s agents, employees, representatives, officers and shareholders from any and all clams, damages or legal actions arlsing friima or connected in any way with nay tattoo or procedures and conduct used to apply may tattoo. Ta agree to give TIiLPS 11W consent to Publish any and all photos off slay tettoo�sl. Name:— �r a � _— Date: �deceess. t't'a®ipG�: s'k1t OO desug;l:� Sign$i' re: F-rdstc at®o Pfflce HIIfirdl ConseRr fins tatcom ❑ RgycbnldCkffgetatango Qs✓its®aatnayaresersce ❑ P?sychildCAi- l got any tattoos without my presence Dli rlCBr Name, DOB: aa�eatNase: £'s-aaen• k4areat sigmature• Da`e;