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ARAGON TATTOO SHOP
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TATTOO CONSENT WAIVER
First Name
Last Name
Email
Phone
Emergency Contact
Emergency Contact Number
By checking the boxes below you are agreeing to follow all Protocols and Guidelines:
STUDIO SAFETY PROTOCOLS
Masks are optional. Clients may choose to wear a mask if they are more comfortable.
Upon arriving please remain in the car and text the artist announcing you’ve arrived. Once ready the artist will contact you to enter.
ALLERGIES
Have you had any allergic reactions to any of the following: Metals, Soaps, Adhesives, Oils, Lidocaine?
Yes
No
Have you had any cases of contact dermititis
Yes
No
HISTORY OF HEALTH
History of Psorasis?
Yes
No
History of tuberculosis?
Yes
No
History of Hepatitis?
Yes
No
Prone to faintness?
Yes
No
HIV/AIDS
Yes
No
Ezcema
Yes
No
History of autoimmune disease?
Yes
No
Diabetes
Yes
No
By checking the boxes below I confirm that I have read and agree to the following:
I will inform Aragon Tattoo Studio if I come in contact with any persons who have tested positive for Covid-19, and I acknowledge that my appointment will be rescheduled in case I feel or show any signs of symptoms of Covid-19.
I acknowledge that I have advised my tattoo artist of any condition that might affect the healing of this tattoo. I do not have medical conditions such as but not limited to: Acne, scarring (keloid), ezcema,psoriasis, or sunburn in the area to be tattooed.
I acknowledge that it is not reasonably possible for the representatives and employees of Aragon Tattoo Studio to determine whether I might have an Allergic reaction to the dyes, pigments or process used in my tattoo, and I agree to accept the risk that such a reaction is possible.
I acknowledge that infection is always possible as a result of obtaining a tattoo, particularly in the event that I do not take proper care of my tattoo.
I fully understand that the tattoo artist does not act as a medical professional. Any suggestions made to me are not to be construed as or substituted for advice from a medical professional.
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