This is a CONSENT form. Only to be filled out after you’ve scheduled your tattoo appointment. I agree to all of the information and guidelines displayed on trustytattoos.com regarding booking, pricing, and aftercare instructions. * I Agree I acknowledge that I am not pregnant and that I am free of communicable diseases. * I Agree I acknowledge that I am not under the influence of any drugs or alcohol. * I Agree I acknowledge that I have truthfully represented to TRUSTY TATTOOS that I am over 18 years old, or I am over 16 years old and my parental guardian is present with me in this process. I Agree I acknowledge that it is not reasonably possible for TRUSTY TATTOOS to determine whether I might have an allergic reaction to the dyes, pigments, jewelry or processes used in my modification, and I agree to accept the fact that such a risk is possible. I Agree I acknowledge that infection is always possible as a result of the obtaining of any modification, particularly in the event that I do not take proper care of my modification. I Agree I acknowledge receipt of verbal or written instructions advising me of the proper care of my modification and I recognize the absolute necessity for following those instructions. I Agree I acknowledge that a modification is a permanent change to my appearance and that no representation has been made to me as to the ability to restore my body to its original state. * I Agree I acknowledge that the obtaining of my modification is by my choice alone and I consent to the application of the modification and to any actions or conduct by TRUSTY TATTOOS reasonably necessary to perform the procedure. I Agree I agree to release and forever discharge and hold harmless TRUSTY TATTOOS of any and all claims, damages, or problems I may have there after receiving my modification. I Agree I hereby give TRUSTY TATTOOS the rights to do as they wish with pictures that may be taken of the modification I am receiving. I Agree I understand that variations in color and design may exist between any tattoos as selected by me and as ultimately applied to my body. If my tattoo is a symbol or something written in English or any other language the representatives and the owner of this business are not responsible for what it may or may not contain. I Agree I do also understand that after I leave TRUSTY TATTOOS the modification is my responsibility. I Agree Name (This Doubles As Electronic Signature) * Date Of Birth * MM DD YYYY Phone * (###) ### #### Email * Instagram (Optional) @ Address Address 1 Address 2 City State/Province Zip/Postal Code Country I HAVE READ THIS AGREEMENT; I UNDERSTAND IT AND AGREE TO BE BOUND BY IT. ADD YOUR LICENSE * FileField; MaxSize=10000KB; Multiple; addText=Upload_Your_Files Thank you!