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— I sill seek professional medical attention if signs and symptoms of infection occur. <br /> — I agree to follow all instructions concerning the cam of my tattoo,and that any touch-ups needed due to my own <br /> negligence will be done at my own expense. <br /> — I understand that there is a chance I might feel lightheaded,dizzy during or after being tattooed. <br /> — I agree,to immediately notify the artist in the event I feel lightheaded,dizzy and/or faint before,during or after the <br /> procedure. <br /> — I agree to release and forever discharge and forever hold harmless and its associates, <br /> agents,officers,and shareholders from any and A claims, darnages,or legal actions arising from or connected in <br /> any way with my body art or the procedures and corxluct used to apply my body art and any and all body art <br /> applied by and its associates,agents and representative in the future. <br /> I, have been fully informed of the risks of tattooing including <br /> but not limited to infection, scarring,difficulties in detecting melanoma,and allergic reactions to tattoo pigment, kdex <br /> gloves,and antibiotics.Having been informed of the potential is associated with getting a tattoo,I still wish to <br /> proceed with tattoo application and I assume any and all risks,that may arisefrom tattooing. <br /> Signed: Date: <br /> If single-use pre-sterilized equipment is used please provide LGVID number. <br /> Artist: _Lots ID#: <br />