Birthday*

Have you eaten in the last two hours? *

Under the influence of alcohol and/or drugs?*

Any known blood borne virus? (Hep-B, Hep-C, HIV etc.)*

Pregnant/breastfeeding?*

Any medical conditions?*

On any medication?*

I understand the risks of getting a tattoo, including possible infection, scarring, allergic reactions, and issues detecting melanoma. Despite these risks, I choose to proceed and accept full responsibility.*

I agree not to sue Final Chapter Tattoos or its artists for any injury or loss resulting from my decision to get tattooed. I understand and accept full responsibility for any consequences arising from this decision.*

Both the Artist and the Tattoo Studio have given me the full opportunity to ask and all questions about the application of my tattoo and all of my questions have been answered to my total satisfaction.*

The Artist and the Tattoo Studio have given me instructions on the care of my tattoo while it’s healing and I understand them and WILL follow them. I understand the risk of infection if I do not follow the instructions.*

I am not under the influence of any alcohol or drugs, and I am voluntarily submitting to be tattooed without duress or coercion.*

I understand that I cannot go into direct sunlight (including sunbeds), chlorine (swimming pools), hot tubs, saunas or steam rooms within 4 weeks of receiving a tattoo Final Chapter Tattoos. *

I understand there is CCTV present inside and surrounding Final Chapter Tattoos I release all rights to any photographs taken of me and the tattoo and give consent in advance to their reproduction in print or electronic form. *

I agree to reimburse each of the Artists and the Tattoo Studio for any attorneys’ fees and costs incurred in any legal action I bring against either the artist or the tattooing studio and in which either/or the Artist or the Tattoo Studio is the party.*

I agree to leave the premises of Final Chapter Tattoos. promptly upon request, for any reason whatsoever, by agent or employee of Final Chapter Tattoos. *

I affirm that all information given on this form is true, my photographic identification (if required) is a true representation of myself and any false information given is solely my responsibility.*

I acknowledge that I have been given adequate opportunity to read and understand this document provided by Final Chapter Tattoos. I understand that I am signing a legal contract waiving certain rights to recover against the Artist and the Tattoo Studio.*