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Tattoo Agreement Form

l am at least 18 years old, I do not have epilepsy. I haven't had hepatitis within the last year. I am not hemophilic (bleeder). I am not under the

influence of drugs or alcohol. To my knowledge, I do not have any physical, mental, or medical impairment or disability that might affect my well-being as a direct or indirect result of my decision to have any tattoo-related work done at this time.

I agree to follow all instructions 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 at my own expense. I understand that if my skin color is dark, the colors will not appear as bright as they do on light skin

Being of sound mind and body, I do hereby release any and all persons representing SCREAMING INK TATTOO INC... (also known as SCREAMING INK), from all liability. I accept any and all responsibility myself for any consequences that might stem from my decision to have tattoo-related work done by SCREAMING INK TATTOO

I agree not to sue SCREAMING INK TATTOO in connection with any and all damages, claims, demands, rights, and cause of action of whatever

kind of nature, based upon injuries or property damage to, or death of myself or any other persons arising from my decision to have a tattoo

related work done by SCREAMING INK TATTOO.

I agree for myself, heirs assign, and legal representatives to hold SCREAMING INK TATTOO harmless from all damages, actions, causes of

claim judgments, cost of litigation, attorneys fees, and all other costs and expenses which might arise from my decision to have any tattoo related

work done by SCREAMING INK TATTOO.

I agree to pay for any and all damages and injuries to any and all persons and property belonging to SCREAMING INK TATTOO or any other person

to whom SCREAMING INK TATTOO may become contractually or by operation of law, caused by, or resulting from my decision to have any tattoo

related work done by SCREAMING INK TATTOO.

I agree to leave the premises of SCREAMING INK TATTOO or any other establishment where SCREAMING INK TATTOO is engaged in business,

promptly upon request, for any reason whatsoever, by any agent or employee of SCREAMING INK TATTOO

I agree that these waivers also pertain to and are designed to protect any and all establishments where SCREAMING INK TATTOO conducts

business.

I represent and warrant to SCREAMING INK TATTOO that the following information is true and correct.

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Your legal name

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I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

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December 11, 2021 9:35 am EST

Tattoo Agreement Form Uploaded by Tony Milany - screaminginktat2@yahoo.com IP 73.124.30.171, 132.148.110.2, 0.0.0.0, 73.124.30.171

December 11, 2021 4:09 pm EST

Document owner derico@eburstservices.com has handed over this document to screaminginktat2@yahoo.com 2021-12-11 16:09:29 - 73.0.171.202