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In consideration of receiving Body Art at Teleios Tattoo (together with its <br />employees, apprentices, and agents, the Body Art Business) <br />I., — confirm the following by initialing each <br />applicable item: <br />— All questions about the body art procedure have been answered to my <br />satisfaction, and I have been given written aftercare instructions for the <br />procedure I am about to receive. <br />I understand that tattooing is permanent and that if I choose to have it <br />removed it may leave scarring. <br />11,111''iEs Tig M MWO =00's AGE, <br />i I I III I• <br />I am not under the influence of alcohol or drugs and that I am voluntarily <br />submitting to be tattooed without duress or coercion. <br />ME= <br />M T MUM M01 <br />I understand the FDA has not approved any tattoo ink, and there is no specifij <br />requirement that explicitly says tattoo inks must be sterile. <br />— I agree to follow all instructions concerning the care of my tattoo and th <br />any touch-ups needed due to my own negligence will be done at my expensi <br />— I agree to immediately notify the artist in the event of feeling dizzy or faint <br />before, during, or after the procedure. <br />