release form I request that: * Nate Webb Christina Diaz Juan "Nacho" Gonzalez tattoo my body and agree to the following: I am at least 18 years old and have a valid ID with me. I am of sound mind and body. I have decided to get tattooed of my own volition. I understand that the tattoo is permanent. I am not under the under the influence of drugs, alcohol, or anything which may otherwise influence my decision to get a tattoo. I understand that prices quoted are only estimates and actual price will be determined according to how much work was actually done. Sales tax will also be added. I understand that the artistic results may vary greatly in a tattoo. Every tattoo is unique. Due to the handmade and artistic nature of the process, results cannot be guaranteed. Tattoo art may not look exactly like the original reference or as described. Colors may not appear as bright in skin as on paper. Colors will not appear as bright on dark skin as they do on light skin. Tattoos appear lighter when healed and fade over time. Details become less defined over time. Artists cannot decipher foreign characters and symbols; therefore, accuracy cannot be guaranteed. Client is responsible for verifying spelling before procedure. I agree to follow aftercare instructions. I will DM or email with questions should problems arise. I will immediately seek medical attention if complications arise. Inability to follow aftercare instructions can result in diminished quality and may lead to infection and/or scarring. If necessary, one free touch-up will be given within the first six months. A charge may be assessed if the touch-up is due to client negligence or if additional elements are added. I do not have any physical, mental, or medical impairment or disability which might affect my well-being as a result of having tattoo work done on me. I understand that it is not within the scope of the tattoo artist’s ability to make medical assessments or diagnoses as to conditions which may prohibit me from receiving a tattoo. It is my responsibility to consult with a doctor. Conditions which may affect the client’s well-being include, but are not limited to, the following: AIDS, immunodeficiency, hepatitis, hemophilia, epilepsy, heart conditions, pregnancy and nursing, diabetes, skin cancer, prone to keloid or hypertrophic scarring, allergies, prone to fainting, high blood pressure, hypertension, drugs, any highly contagious disease, anaphylactic reaction to needles, lymphadenitis (swelling of lymph nodes), skin disease, psoriasis, wounds or lesions at the site of the tattoo. I understand and accept that there are inherent risks to getting a tattoo, both during and after the process. I agree not to hold: * Nate Webb Christina Diaz Juan "Nacho" Gonzalez responsible for any consequences arising from my decision to get a tattoo. These risks include, but are not limited to fainting, shock, scarring, infection, and in rare cases, death. Allergic reactions to tattoo ink, tape, latex gloves, metals, soaps, ointments, etc., can and do occur and cannot be predicted by the artist on an individual basis. Any allergies should be reported to the tattoo artist. Symptoms of COVID-19 include fever, cough, shortness of breath, fatigue, muscle aches, or new loss of taste or smell. * I do not have any symptoms of COVID-19. Please print your name. I have not recently experienced a temperature above 100.4°F. * Please print your name. No one in my household or workplace has any symptoms of COVID-19. * Please print your name. To the best of my knowledge, I have not been exposed to anyone with COVID-19. * Please print your name. Please list any relevant allergies or medical conditions: * In consideration of the above statements, I agree to release and forever hold harmless, * Nate Webb Christina Diaz Juan "Nacho" Gonzalez and all parties involved, from any liability of whatsoever kind and nature and all claims, damages, demands, medical expenses, or actions of law. By signing below, I acknowledge that I have read and fully understood this entire form and agree to its terms. * Please sign your name. What are your pronouns? * Today's Date * MM DD YYYY Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Date of Birth * MM DD YYYY Tattoo Design & Placement * Amount of Deposit Paid (if any): * $ Thank you!
