I am aware that the following are potential risks associated with tattooing:

• Scarring
• Blood Poisoning (Septicemia)
• Localized Infection
• Allergic Reaction to Pigment
• Localized Swelling Around The Site

I acknowledge by signing this agreement that I have been given the full opportunity to ask any and all questions I have about getting a tattoo and that all of my questions have been answered to my full satisfaction.

I agree as follows:

• If I have any condition that might affect the healing of this tattoo, I will advise my tattooer.
• I am not under the influence of alcohol or drugs.
• I acknowledge it is not reasonably possible for the representatives and employees of this tattoo studio to determine whether I might have an allergic reaction to the pigments or processes used in my tattoo, and I agree to accept the risk that such a reaction is possible.
• I acknowledge that potential complications, e.g. infection and swelling are always possible as a result of the obtaining of a tattoo, particularly in the event that I do not take proper care of my tattoo.
• I understand that if I have any skin treatments, laser hair removal, plastic surgery, or other skin altering procedures, it may result in adverse changes to my tattoo.
• I acknowledge that a tattoo is a permanent change to my appearance. To my knowledge, I do not have a physical, mental, or medical impairment or disability which might affect my wellbeing as a direct or indirect result of my decision to have a tattoo.
• I acknowledge I am over the age of eighteen (Tattooing of Minors Act 1969) and that the obtaining of a tattoo is by my choice alone. I consent to the application of the tattoo and to any actions or conduct of the representatives and employees of the tattoo shop reasonably necessary to perform the tattoo procedure.

I declare that I give my full consent to the tattooing being carried out by the agreed tattoo artist. By signing this form I am declaring that I have read, understood, and agreed with all of the contents.