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<br />● 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 /> <br /> <br />CLIENT___________________________________________________DATE:_____/______/_____ <br /> (Signature) <br /> <br /> <br />ARTIST___________________________________________________DATE:_____/______/_____ <br /> (Signature) <br /> <br /> <br /> <br />Description of procedure <br />(For Tattoo Artist only): <br />______________________________________ <br />______________________________________ <br />______________________________________ <br /> <br />