Release form

CONSENT FORM

FOR THE APPLICATION OF A TATTOO AND/OR A PIERCING.

AT TRIP INK (TATTOO/PIERCING CO. LV)

RELEASE AND WAIVER OF ALL CLAIMS

Full Name *

Phone *

Email *

Date of birth *

Looking for? *

Tattoo

Piercing

FOR TATTOOS ONLY

PLEASE READ AND CHECK OFF: *

I acknowledge that a tattoo is a permanent change to my appearance.

I acknowledge that variations in color and design may exist between my tattoo as selected by me and as ultimately applied to my body.

I understand that the cost of my tattoo will be discussed with my tattoo artist verbally, and may only be an estimate. I also acknowledge that sometimes the tattoo process takes longer than expected. (due to changes to the design, placement, skin type or pain tolerance) therefore the final price may differ.

I understand that my type of skin, whether because of my age or the area getting tattooed, may be prone to ink blowouts (ink that spreads under the skin, usually while healing, for delicate or aged skin), which my artist may or may not be liable for.

FOR PIERCINGS ONLY

PLEASE READ AND CHECK OFF: *

I have been fully informed of the risks of body piercings including, but not limited to infection and other medical complications, allergic reactions to the jewelry and that body piercing can result in nerve damage, as well as bone and tooth loss. And if I choose to remove my jewelry, permanent holes or scars may be left behind.

Are you an adult? *

Yes

Under 18

ID *

Signature *

Clear

Sign Date *

PARENTAL PIERCING/TATTOO CONSENT RELEASE FORM:

I acknowledge by signing this release form that I hereby release TRIP INK (TATTOO/ PIERCING CO) in Las Vegas. Nevada and its workers and agents from all manner of liabilities, claims, actions, and demands, in law or in equity, which I or my heirs have or might have now or hereafter, by reason of complying with my request to let my minor child get a tattoo and/or a piercing. I certify that I am the parent or legal guardian of the minor receiving the tattoo and/or piercing. I agree that I will assume all responsibility for any medical, legal, or other situation resulting from my request to let my minor child attain a tattoo and/or piercing. I also understand that I must remain in the presence of this minor child during all of the tattooing and/or piercing procedures. I understand that my minor child will be tattooed and/or pierced using appropriate instruments and techniques.

I have signed this release on *

Make sure that the minor has filled out our Consent Form on their own, and also copies are made of both the minor and the parent/guardian’s IDs, as well as a copy of the minor's birth certificate. Attach all forms together along with copies of items needed for our records.

I certify under penalty of perjury that the information herein is true and correct.

Please upload following documents

ID *

Birth Certificate *

Adult's Signature *

Clear

Minor's Signature *

Clear

Thank you for taking the time to fill these details.