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�� _ �� WAIVER, RELEASE AND CONSENT TO PIERCING THIS DOCUMENT YSTWO PAGES [Or Two/id»f . PLEASE INITIAL EACH,, PROVISION ONTHE LINES PROVIDED AFTER READING TO SHOW THAT YOU UNDERSTAND EACH PROVISION' bzconsideration of receiving abody piercing from MCTOR 1A6,4 (THE ARTIST) at [TRUE CLASSIC TATTOO](together with its employees,apprentices and agents,the "PiercingStodiO`), Tagree tmthe : That 1, PRINT your name) have been fully informed of the inherent risks,associated with getting apiercing.I fully understand that these risks, known and unknown,can lead tmY 'u,y, including but not limited to infection,scarring and keWmiding,a0mrgic reactions tmjewelry, latex gloves,and/or soap.Having been informed mfthe potential risks associated with getting a piercing, fstill wish to proceed with the piercing and I freely accept and expressly assume any and all risks that may arise from piercing. TOWAIVE AND RELEASE<othe fullest extent permitted bylaw each ofthe Artist and the Piercing Studio from all liability whatsoever, 0zranymndaUdaimoor causes ofaction that|. myestate, heirs, executors Urassigns may have for personal injury or otherwieo, including any direct a�d/oro»neequenbo|dorn which result orohoe�omthe piercing,whether ceuaadbythe negligence orfault of either the Artist orthe Piercing Studio, or otherwise. That both the Artist and the Piercing Studio have given mnathe full opportunity bo ask any and all questions about the piercing procedure and the staff has answered these questions tonnytotal satisfaction. I affirm that both the Artist and the Piercing Studio have given me instructions on the care of my piercing while it's healing, and I understand them and will follow them. I acknowledge that it is possible that the piercing can become infected, particularly if| donot follow the instructions given home. |affinnthat|amnot under the influence ofalcohol ordrugs, and | amvoluntarily getting a piercing without duress. I affirm that I do not have diabetes, epilepsy, hemophilia, nor do I have a heart condition or take blood thinning medication. I do not have any other medical or skin condition that may interfere with the procedure orhealing ofthe piercing. Iamnnot 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 such as piercing. I am not pregnant or nursing. |acknowledge that the piercing will result inapermanent change bomy appearance and that my skin may not be restored to its pre-piercing condition even after its removal.