Laserfiche WebLink
Requirements for antibiotics prior to dental or surgery procedures- 119303 (b) 3 <br /> Other risk factors for blood borne pathogen -119303 (b) 4 <br /> Notice that tattoo inks, dyes and pigments have not been approved by Federal Food and Drug <br /> Administration and that heath consequences of using these products are unknown, HSC.. 119303 <br /> 1 hereby release Art Body& Soul Tattoo Lounge and its employees of all responsibility and liability <br /> for said tattoo. NO REFUNDS <br /> This is to certify I am at least 18 years of age. <br /> • 1 understand AB&S does not guarantee any tattoo below the shoe line. Initial <br /> Signature <br /> Name <br /> Address <br /> City State Zip <br /> Drivers Lic. Or I.D. <br /> D.O.B Age Todays date <br /> DO NOT WRITE BELOW THIS LINE <br /> Artist <br /> Placement <br /> Remarks <br /> Price <br />