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Tattoo Legal Waiver <br /> By completing and signing this form, I acknowledge that I have been given the full opportunity to ask any and <br /> all questions which I might have about obtaining a tattoo from Down 2 Earth Tattoo TATTOO STUDO and that all <br /> of my questions have been answered to my full and total satisfaction. I specifically acknowledge that I have <br /> been advised of the facts and matters set forth,and I agree with the following(Please initial each statement) <br /> I have truthfully represented to Down 2 Earth TATTOO STUDIO that I am 18 years old or older. <br /> I acknowledge that it is not reasonably possible for the representatives and employees of Down 2 Earth Tattoo TATTOO STUDIO to <br /> determine whether I might have an allergic reaction to the dyes,pigments or processes used in my tattoo,and I agree to accept the risk <br /> that such a reaction is possible. <br /> I acknowledge that I have advised my tattoo artist of any condition that might affect the healing of this tattoo.I do not have medical <br /> or skin conditions such as but not limited to acne, scarring(Keloid), eczema, psoriasis,freckles, moles, or sunburn in the area to be <br /> tattooed that may interfere with said tattoo.If I have any type of infection or rash anywhere on my body,I will advise that tattooer. <br /> I am not pregnant or nursing. <br /> I am not underthe influence of alcohol or drugs. <br /> I acknowledge that infection is always possible as a result of obtaining a tattoo,particularly in the event that I do not take proper care <br /> of my tattoo.I have received aftercare instructions,and I agree to follow them while my tattoo is healing.I agree that any touch-up work <br /> needed,due to my own negligence,will not be at my own expense.This includes sun and ultraviolet frequency damage. <br /> I acknowledge that a tattoo is a permanent change to my appearance and that no representations have been made to me as to the <br /> ability to later change or remove my tattoo.To my knowledge,I do not have a physical,mental or medical impairment or disability which <br /> might affect my well-being as a direct or indirect result of my decision to have a tattoo. <br /> I acknowledge that if my tattoo is a symbol or something written in a language other than English,the tattoo artist and the owner of <br /> the business are not responsible for what it may or may not mean. <br /> I acknowledge that if my tattoo includes text that I am responsible for the correct spelling,grammar and punctuation.I have proofread <br /> the text before it is applied as a tattoo. <br /> I acknowledge the decision to obtain my tattoo is my own free will and choice. I consent to the location of the tattoo and the <br /> performance of the tattoo procedure. <br /> I acknowledge and agree to the following and all instructions provided to me regarding the maintenance of a sanitary environment <br /> while I am being tattooed. <br /> I agree that the tattoo design is correctly drawn to my specifications,and I agree to follow for artist interpretation of the image. <br /> I agree to IMMEDIATELY notify the artist if I feel lightheaded,dizzy and/or faint before,during or after the procedure.Failure to do so <br /> releases Down 2 Earth Tattoo TATTOO STUDIO and my tattoo artist and shop owner of all responsibility. <br /> Inks are not FDA approved. <br /> Down 2 Earth Tattoo,150 N Main Street Manteca,CA 95336 <br />