I confirm I do not have diabetes, epilepsy, hepatitis, HIV, AIDS or any other communicable disease.

I confirm that I am not pregnant or breastfeeding

I confirm that i have not consumed alcohol in the last 8 hours.

I confirm that I am not under the influence of drugs.

Are you prone to bruising and or swelling?

Have you taken blood thinners or pain medication in the last 24 hours ?

Do you have a latex allergy?

Are you prone to fainting ?

Are you prone to bleeding or high/low blood pressure ?

Have you eaten in the last 4 hours ?

Do you have any other known allergies ?

Do you have any known conditions that may affect the healing of this tattoo?

Please view our aftercare instructions

Please read through the following carefully and sign at the bottom of the page.

If you have any questions please ask one of our friendly team members.

I acknowledge that by signing this agreement, I have been given the full opportunity to ask any questions which I might have about the obtaining of a tattoo from FSC Tattoo and Barber and that all of my questions have been answered to my full and total satisfaction. I specifically acknowledge that I have been advised of the facts and matters set forth below, and I agree to the following:

• I HAVE READ THE BELOW AND AGREE

I am not a hemophiliac, I do not have diabetes, epilepsy, hepatitis, HIV/AIDS or any other communicable disease. I am not under the influence of alcohol and/or drugs and I am not taking any blood thinning medications or medications that will affect my tattoo or tattooing procedure. I am not currently pregnant or breastfeeding.

I acknowledge that it is not reasonably possible for the representatives and employees of FSC Tattoo and Barber to determine whether I might have an allergic reaction to the pigments or process used in my tattoo, and I agree to accept any and all risks associated with obtaining a tattoo.

I acknowledge that infection is possible as a result of obtaining a tattoo, particularly in the event that I do not take proper and advised care of my tattoo. I agree to follow all instructions given to me by FSC Tattoo and Barber and its artists concerning the care of my tattoo while it is healing. I agree that any touch-up work needed due to my own negligence, will be done so at my expense. I acknowledge that I have received a copy of the written aftercare instructions, which I have read and understood fully and hereby assume all responsibility for aftercare and cleanliness of my tattoo.

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

I acknowledge that I have checked all spelling, grammar and designs associated with my tattoo and that it is my responsibility to make sure placement and final designs are correct.

I acknowledge that a tattoo is a permanent change to my appearance and that no representations have been made to me as to the ability to later change or remove my tattoo. To my knowledge I do not have any physical, mental or medical impairments or disabilities which may affect my well-being as a direct or indirect result of my decision to have any tattoo-related work done at this time.

I acknowledge if I am using numbing, I am using it at my own risk, any side effects associated from it FSC Tattoo and Barber is not responsible.

I acknowledge that I have truthfully represented to the employees and representatives of FSC Tattoo and Barber that I am over the age of eighteen (18) years old, and that the following information is true and correct.

I acknowledge that the obtaining of my tattoo is my choice alone and I consent to the application of the tattoo and to any action or conduct of the employees of FSC Tattoo and Barber reasonably necessary to perform the tattoo procedure.

I understand that any employee of FSC Tattoo and Barber does not act in the capacity of a medical professional. The suggestions made by an employee or agent of this studio are just suggestions. They are not to be construed as, or substituted for advice from a medical professional.

I agree and consent to have a photo(s) of my tattoo on social media for advertising/promotional purposes

I agree to release and hold harmless FSC Tattoo and Barber and its employees from any and all claims, damages and legal actions arising from or connected in any way with my tattoo and of the procedures conducted to apply my tattoo.