PLEASE CHECK BOXES *

I acknowledge that the obtaining of my tattoo is by my choice alone and I consent the application of the tattoo and to any actions or conduct the representatives reasonably necessary to preform the tattoo procedure. I release all rights to any photographs taken and give my complete advanced consent for their reproduction in any print or electronic form, or exhibition in any venue

If my tattoo is a symbol or something written in either English or any other language, I am responsible for providing the correct picture or spelling. I am responsible for proofing the tattoo stencil before any work begins.

I acknowledge that infection is alway possible as a result of obtaining a tattoo, particularly in the event that I do not take proper of my tattoo and I agree to follow all instructions given to me, concerning the care of my tattoo while it is healing. I agree that once I have been given care instruction, understanding them and following them. I agree that any touch up work needed, due to my negligence, will be at my expense. We will guarantee our tattoos for touch ups under normal healing situations.

I do not have Diabetes, Epilepsy, Hepatitis, Hemophilia, HIV-AIDS, Tuberculosis or any other communicable disease, heart conditioner taking medication which thins the blood. I am not pregnant or nursing. I do not take medication that thins the blood. I am not under the influence of drugs or alcohol.

I do not have medical conditions such as but not limited to : Acne, Scarring, Keloid, Eczema, Psoriasis, freckles, Moles or sunburn in the area that is to be tattooed, which may interfere with my tattoo. to my knowledge I do not have any physical, mental, or medical impairment of disability, which might affect my well being as a direct or indirect result of my decision to have any tattoo related work done at this time.

I acknowledge that I have truthfully represented my self to the management or representative that I am eighteen (18) years of age or older and the information I have provided was true and correct

I acknowledge that Tattoo inks, Dyes, and Pigments have not been approved by the federal FDA

I will not perform any gardening or come in contact with animals while my tattoo is healing

I have Asked and agreed on the pricing of this tattoo before the artist starts it.

I consent to receive marketing text messages from LB Tattoo Co. LLC at the phone number provided. Frequency may vary.message and data rates may apply. text help for assistance, reply STOP to opt out..

I consent to receive non-marketing text messages from LB Tattoo Co. LLC about my order updates, appointment reminders ect. Messages and date rates may apply.