Waiver – Black Sheep Tattoo

Select Your Artist

Josh Hill
Ren Marino

Name

First

Last

Date of Birth

Email

Phone Number

Declarations

1. I declare that I have consented to being tattooed out of my own free will.
2. I declare that I am of sound mind and have not been coerced unwillingly into making the decision to be tattooed.
3. I agree that I take full responsibility for my actions and I will not hold the the artist accountable or responsible for any damages that may occur prior to, during, or after the tattoo process.
4. I understand that some of the damages may include: loss of motor skills, scarring, infection, allergic reaction, nerve damage, death, or other possible complications.
5. I fully agree that any of these complications or damages are in no way the fault of the artist, and I take any and all of these complications/damages as my own responsibility.
6. I agree that I have been properly informed about the procedure in question, and fully and completely agree with the procedure in question.

The personal information I have provided is true and correct

Yes
No

I acknowledge that variations in colour and design may exist between the tattoo selected by me and the tattoo applied by the artist

Yes
No

Are you pregnant or breast feeding?

Yes
No

Are you under the influence of any illegal narcotics, hallucinogens or alcohol?

Yes
No

Do you have hemophilia or any other blood related conditions?

Yes
No

Do you have hepatitis, HIV/AIDS, or any other communicable disease?

Yes
No

I will follow aftercare instructions both written and verbal

Yes
No

I agree to the design and or spelling of the stencil/tattoo

Yes
No

I understand that there is a $20.00 +HST set up

Yes
No

BY TYPING YOUR FULL NAME BELOW, YOU AGREE THAT ALL THE INFORMATION PROVIDE IS ACCURATE AND TRUE. TYPING YOUR NAME IS THE EQUIVALENT TO SIGNING THE WAIVER.

BlkShp Tattoo Waiver