I have been fully informed of the risks with getting a tattoo. I understand these risks, known, and unknown, can lead to injury, including but not limited to infection, scarring, difficulties in detecting diseases recognized by skin discoloration (melanoma or otherwise), and allergic reactions to tatto pigment, latex gloves, and/or soap. Having been informed of these risks, I still wish to proceed with the tattoo application and accept any and all risks associated. 

I waive and release to the fullest extent permitted by law each of the Artist and the Studio from all liability whatsoever, for any and all claims or causes of action that I, my estate, heirs, executors, or assigns may have for personal injury or otherwise, including any and direct and/or consequential damages, which result or arise from my tattoo, whether caused by negligence or fault of either the Artist or Tattoo Studio, or otherwise.

The Artist and the Tattoo Studio has given me instructions on how to care for my tattoo while it's healing. I understand said instructions and will follow them. I acknowledge that it's possible the tattoo can become infected, particularly if I do not follow the instructions given to me. If any touch-up work to the tattoo is needed due to my own negligence, I agree that the work will be done at my own expense

I am not under the influence of alcohol or drugs, and I am voluntarily submitting to be tattooed by the Artist without duress or coercion.

I do not have diabtes, epilepsy, hemophilia, a heart condition, nor do I take blood-thinning medication. I do not have any other condition that may interfere with the application or healing of the tattoo. I am not the recipient of an organ or bone marrow transplant, or, if I am, I have taken the preventive antibiotics. I am not pregnant or nursing. I do not have a mental impairment that may affect my judgment in getting the tattoo.

Neither the Artist nor the Tattoo Studio is responsible for the meaning or spelling of the symbol or text that I have provided to them or chosen from the flash design sheets.

Variations in color/design may exist between the art I have selected and the actual tattoo. I also understand that over time, the colors and clarity of my tattoo will fade due to the natural dispersion of pigment under the skin.

A tattoo is a permanent change to my appearance and can only be removed by laser or surgical means, which can be disfiguring and/or costly and which, in all likelihood, will not result in the restoration of my skin.

I agree to reimburse each of the Artist and the Tattoo Studio for any attorneys' fees and costs incurred in any legal action I bring against either the Artist or the Tattoo Studio and in which either the Artist or the Tattoo Studio is the prevailing party. I agree that the that the courts of [Nebraska] in [United States of America] shall have personal jurisdiction and venue over me and shall have exclusive jurisdiction for the purpose of litigating any dispute arising out of or related to this agreement.

I acknowledge that I have been given adequate opportunity to read and understand this document, that any and all of my questions have been answered, that it was not presented to me at the last minute, and I understand that I am signing a legal contract waiving certain rights to recover against the Artist and the Tattoo Studio.

I release all rights to any photographs taken of me and the tattoo and give consent in advance to their reproduction in print or electronic form. (If you do not tick this provision, please advise your Artist).