Release Form for

Guest Artist

Select a different artist

Your Name(Required)

First Last

Nickname or Preferred Name

First

Pronouns

Your Phone(Required)

Your Email Address(Required)

Email Address Confirm Email Address

Your Address(Required)

Street Address Address Line 2 City State ZIP Code

Instagram Handle

If you'd like us to tag you in instagram photos

Your Appointment

Your Tattoo Artist's Name(Required)

Date of appointment(Required)

Time of Appointment(Required)

Description of tattoo

Placement on body

Waive and Release(Required)

INFORMED CONSENT: I confirm that I have been fully informed of the inherent risks of receiving a tattoo. These include, but are not limited to, the risk of infection, scarring, allergic reactions to pigments or aftercare products, and potential variations in design. Having been informed, I voluntarily agree to proceed with the tattoo procedure and assume all associated risks.

WAIVER OF LIABILITY: I waive and release Anatomy Tattoo, its artists, students, and staff to the fullest extent permitted by law from any claims or causes of action for personal injury, including but not limited to risks resulting from the tattoo procedure.

AFTERCARE RESPONSIBILITY: I confirm that I have received aftercare instructions and understand my role in caring for the tattoo to prevent infection and ensure proper healing. If touch-up work is required due to my negligence, I agree to cover the cost.

VARIATIONS: I understand that Tattoos are a permanent alteration to my skin and may only be removed through costly and potentially disfiguring means. Variations in design and color may occur, and tattoos will naturally fade over time due to sun exposure and pigment dispersion.

CORRECTNESS: I take full responsibility for the meaning and accuracy of the text or design I provide or select.

LEGAL AGE: I confirm that I am at least 18 years old, have provided valid photo identification, and understand that parental consent does not apply to tattooing in Oregon.

HEALTH DECLARATION: I declare that I am not under the influence of drugs or alcohol. I am not pregnant or nursing. I do not have medical conditions (e.g., diabetes, epilepsy, hemophilia) or take medications (e.g., blood thinners) that may interfere with the tattoo or its healing process. If I have any medical concerns, I have consulted a physician prior to proceeding.

Health Continued

Please let us know if there's anything that may impact your healing such as being diabetic or taking blood-thinning medication.

Instagram Handle

If you'd like us to tag you in instagram photos

Submit a photo of your ID(Required)

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