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By signing this waiver, the client acknowledges that they have fully informed of the inherent risks associated with getting tattooed. They have also been provided with an opportunity to ask all questions regarding the tattoo procedure, and the questions have all been answered to their satisfaction.

​By signing this waiver, I acknowledge that I am fully informed of the inherent risks associated with getting tattooed. I have also been provided with an opportunity to ask all questions regarding the tattoo procedure, and the questions have all been answered to my satisfaction.

I Agree

After reading each term, check the accompanied box.

I agree to waive and release to the fullest extent permitted by Canadian law that each of the tattoo artists and Ethereal Conjunction Ltd., are not subject to liability whatsoever, for any and all claims that I, my estate, heirs, executors or assigns May have for personal injury or otherwise, including any direct and/or consequential damages, which result from the application of my tattoo, whether caused by negligence of fault of either the tattoo artist or Ethereal Conjunction Ltd.., or otherwise.

I Agree

I will advise my tattoo artist if I have ay condition that might affect the healing of this tattoo. I am not pregnant and/or nursing at this time. As well, I am not under the influence of alcohol or drugs, and I am voluntarily submitting to be tattooed by the tatto artist without diress or coercion.

I Agree

I do not have medical or skin conditions, such as but not limited to: diabetes, epilepsy, hemophilia, a heart condition, acne, prone to keloid scaring, eczema, psoriasis, freckles, moles, or sunburn in the area of the tattoo that may interfere with the said tattoo. As well, I am not currently taking blood thinning medication. I am not the recipient of an organ or bone marrow transplant or, if I am, I have taken the prescribed preventative regime of antibiotics that is required in advance of any tattoo procedure. If I have any type of infection, or rash anywhere on my body, I will advise my tattoo artist and, under diress, medical physician. 

I Agree

The tattoo artist or Ethereal Conjunction Ltd., is not responsible for the meaning or spelling of the symbol or text that I have provided to them or chose from a design sheet. 

I Agree

I understand that these risks, known and unknown, can lead to injury, including but not limited to infection, scarring, difficulties in detecting melanoma and allergic reactions to tattoo pigment, nitrile gloves, tape, and/or soap. Having been informed of the potential risks associated with getting a tattoo, I still wish to proceed with the tattoo application, and freely accept and assume any and all risks that may arise from tattooing.

I Agree

Variations in colour and design may exist between the tattoo art I have selected and the actual tattoo when it is applied to my body. I also understand that over time, the colours of my tattoo will fade due to unprotected sun exposure, and naturally occurring dispersion of pigment under the skin.

I Agree

I acknowledge that infection is always possible asa result of obtaining a new tattoo, particularly in the event that I do not take proper care of my tattoo. I have/will receive aftercare instructions, and agree to follow them while my tattoo is healing. I agree that any touch-up work needed, due to my own negligence, will be at my own expense.i understand that if I have any skin treatment, laser hair removal, plastic surgery or other skin altering procedures, it may result in having adverse changes to my tattoo.

I Agree

I acknowledge that a tattoo is a permanent change to my appearance, and I have the ability to later change or remove my tattoo. To my knowledge, I do not have a physical, mental or medical impairment or disability, which may affect my wellbeing as a direct or indirect result of my decision to have a tattoo.

I Agree

 

I release all rights to any photographs taken of me and the tattoo and give consent in advance to their reproduction in print or online form. (If you do not agree, please advise your tattoo artist and the tattoo studio NOT to take any photos of you or your completed tattoo.)

I Agree

I acknowledge that I am over the age of 18 and that I have truthfully represented to my tattoo artist 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 Ethereal Conjunction Ltd., reasonably necessary to perform the tattoo procedure.

I Agree

 AFTERCARE

  • ALWAYS WASH YOUR HANDS BEFORE TOUCHING YOUR TATTOO!
  • WHEN YOU GET HOME: REMOVE BANDAGE 24 HOURS AFTER GETTING YOUR TATTOO. DO NOT RE-BANDAGE UNLESS IMMEDIATELY REAPPLYING PERMEABLE SANIDERM.
  • WASH YOUR TATTOO WITH AN ANTI-BACTERIAL LIQUID SOAP. BE GENTLE, DO NOT USE A WASHCLOTH OR ANYTHING THAT WILL EXFOLIATE YOUR TATTOO. ONLY USE YOUR HANDS.
  • GENTLY PAT YOUR TATTOO DRY WITH A PAPER TOWEL. DO NOT RUB, OR USE A FABRIC WITH A ROUGH SURFACE.
  • THE FIRST 14 DAYS AFTER REMOVING BANDAGE: RUB

A SMALL AMOUNT OF LOTION/OINTMENT ON YOUR TATTOO. YOU MAY USE AN UNSCENTED MOISTURIZER (WITH NO ALCOHOL IN THE LOTION) LIKE AQUAPHOR OR A TATTOO OINTMENT. ALWAYS USE CLEAN HANDS AND DO NOT PLACE YOUR FINGERS BACK INTO THE OINTMENT AFTER TOUCHING YOUR TATTOO. MAKE SURE TO RUB THE OINTMENT IN SO THAT IT IS NOT SHINY, OR GREASY- YOU WANT THE THINNEST AMOUNT POSSIBLE. PAT OFF ANY EXCESS OINTMENT WITH A CLEAN PAPER TOWEL. DO NOT USE VASELINE, PETROLEUM, NEOSPORIN, OR BAG BALM. WASH, DRY, AND APPLY LOTION/OINTMENT 1-3 TIMES DAILY, AS NEEDED.

• WEAR CLEAN, SOFT CLOTHING OVER YOUR TATTOO FOR THE FIRST 2

WEEKS- NOTHING ABRASIVE OR IRRITATING. FOR A FOOT TATTOO: GO BAREFOOT AS MUCH AS POSSIBLE. IF YOU MUST WEAR SHOES, FIRST WRAP YOUR CLEAN TATTOO IN SARAN WRAP, THEN COVER WITH A CLEAN COTTON SOCK BEFORE PUTTING ON YOUR SHOE. AVOID SANDALS OR FLIP-FLOPS FOR THIS PERIOD TO PREVENT CHAFING AND DAMAGE TO THE TATTOO.

• AFTER DAY 3 OR 4 OF REMOVING BANDAGE YOUR TATTOO WILL BEGIN TO PEEL. THIS IS NORMAL! DO NOT PICK AT THE SKIN.

THINGS TO AVOID

  • DO NOT PICK, SCRATCH, PEEL, SLAP, RUB OR IRRITATE YOUR TATTOO.
  • YOU CAN SHOWER, BUT YOU MAY NOT SOAK YOUR TATTOO FOR 2

WEEKS. NO SWIMMING, SOAKING, OR HOT TUB.

• YOU MAY NOT EXPOSE YOUR TATTOO TO THE SUN FOR AT LEAST 3

WEEKS, AFTER THAT YOU MUST USE SUNBLOCK.

  • DO NOT WEAR ABRASIVE MATERIALS, JEWELRY, OR SHOES THAT RUB AGAINST YOUR TATTOO.
  • DO NOT LET ANYONE TOUCH YOUR TATTOO UNLESS THEY WASH
  • THEIR HANDS.
  • BEWARE OF GYM EQUIPMENT; WASH IT WELL BEFORE USING IT.

YOU CAN ALSO

  • ICE YOUR TATTOO TO REDUCE SWELLING.
  • ELEVATE YOUR TATTOO, TO REDUCE SWELLING.
  • TAKE SHORT SHOWERS.


First Client’s Name

First Name*

Middle Name

Last Name*

Phone*
First Client’s Date of Birth*
First Client’s Signature*
Second Client’s Name

First Name*

Middle Name

Last Name*
Second Client’s Date of Birth*
Third Client’s Name

First Name*

Middle Name

Last Name*
Third Client’s Date of Birth*
Fourth Client’s Name

First Name*

Middle Name

Last Name*
Fourth Client’s Date of Birth*
Fifth Client’s Name

First Name*

Middle Name

Last Name*
Fifth Client’s Date of Birth*
Sixth Client’s Name

First Name*

Middle Name

Last Name*
Sixth Client’s Date of Birth*
Seventh Client’s Name

First Name*

Middle Name

Last Name*
Seventh Client’s Date of Birth*
Eighth Client’s Name

First Name*

Middle Name

Last Name*
Eighth Client’s Date of Birth*
Ninth Client’s Name

First Name*

Middle Name

Last Name*
Ninth Client’s Date of Birth*
Tenth Client’s Name

First Name*

Middle Name

Last Name*
Tenth Client’s Date of Birth*
Client’s Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Parent or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*
Description of tattoo and location:

tattoo artist
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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