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• I realize that variations in color and design may exist between any tattoos <br /> selected by me and as ultimately applied to my body. I understand that if my skin <br /> color is dark, the colors will not appear as bright as they do on lighter skin. <br /> • I understand that if I have any skin treatments,laser removal, plastic surgery or <br /> other skin altering procedures, it may result in adverse changes to my tattoo. <br /> • I acknowledge that a tattoo is a permanent change to my appearance and that no <br /> representations have been made to me as to the ability to later change or remove <br /> my tattoo. To my knowledge, I do not have a physical, mental, or medical <br /> impairment or disability: which might affect my well being as a direct or indirect <br /> result of my decision to have a tattoo. <br /> • I understand and acknowledge that a tattoo is a permanent image in the skin, <br /> delivered by needles injecting ink into the dermis. This tissue is just underneath <br /> the outer layer of your skin, called the epidermis. The ink is injected into the <br /> dermis by a machine that delivers thousands of tiny pricks per minute via needle. <br /> • I acknowledge I am over the age of eighteen and that I have truthfully <br /> represented to my tattoo artist that the obtaining of a tattoo is by my choice <br /> alone. I consent to the application of the tattoo and to any actions or conduct of <br /> the representatives and employees of the tattoo shop reasonably necessary to <br /> perform the tattoo procedure. <br /> CLIENT DATE: <br /> (Signature) <br /> ARTIST DATE: <br /> (Signature) <br /> Description of procedure <br /> (For Tattoo Artist only): <br />