Waiver, Release, and Consent to Tattoo
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					                        Waiver, Release, and Consent to Tattoo

For and in consideration of receiving a tattoo from (Name of Tattoo Artist), of
(street address, city, state, zip code), the undersigned (name of customer) hereafter
referred to as at Client agrees to the following:

1.      I have been fully informed of the inherent risks, associated with getting a tattoo. I
fully 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, latex gloves, 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 I
freely accept and expressly assume any and all risks that may arise from tattooing.

2.     I waive and release to the fullest extent permitted by law the Artist, Studio, and its
employees from all liability whatsoever, for any and all claims or causes of action that I,
my estate, heirs, executors or assigns may have for personal injury or otherwise,
including any direct and/or consequential damages, which result or arise from the
application of my tattoo, whether caused by the negligence or fault of either the Artist,
Studio, and any of its employees.

3.     I acknowledge that the Artist has given me the full opportunity to ask any and all
questions about the application of my tattoo, and all of my questions have been
answered to my total satisfaction.

4.      I acknowledge that the Artist has given me instructions on the care of my tattoo
while it is healing, and I understand them and will follow them. I acknowledge that it is
possible that the tattoo can become infected, particularly if I do not follow the
instructions given to me. If any touch-up work to the tattoo is needed due to my own
negligence, I agree that the work will be done at my own expense.

5.     I am not under the influence of alcohol or drugs, and I am voluntarily submitting
to be tattooed by the Artist without duress or coercion.

6.      I do not have diabetes, epilepsy, hemophilia, a heart condition, diabetes,
hepatitis, hemophilia, HIV-AIDS, tuberculosis or any other communicable disease, nor
do I take blood thinning medication. I do not have any other medical or skin condition
that may interfere with the tattoo. I am not pregnant or nursing. I do not have a mental
impairment that may affect my judgment in getting the tattoo. I acknowledge that it is not
reasonably possible fo
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Description: The following form is a consent to a tattoo, an acknowledgement of the risks involved, and an agreement to assume those risks. This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.
PARTNER William Glover
I received my B.B.A. from the University of Mississippi in 1973 and my J.D. from the University of Mississippi School of Law in 1976. I joined the firm of Wells Marble & Hurst in May 1976 as an Associate and became a Partner in 1979. While at Wells, I supervised all major real estate commercial loan transactions as well as major employment law cases. My practice also involved estate administration and general commercial law. I joined the faculty of Belhaven College, in Jackson, MS, in 1996 as Assistant Professor of Business Administration and College Attorney. While at Belhaven I taught Business Law and Business Ethics in the BBA and MBA programs; Judicial Process and Constitutional Law History for Political Science Department); and Sports Law for the Department of Sports Administration. I am now on the staff of US Legal Forms, Inc., and drafts forms, legal digests, and legal summaries. I am a LTC and was Staff Judge Advocate for the Mississippi State Guard from 2004-2008. I now serve as the Commanding Officer of the 220th MP BN at Camp McCain near Grenada, MS. I served on active duty during Hurricanes Dennis (July, 2005), Katrina (August, 2005) and Gustav in 2008. I played football at the University of Mississippi in 1969-1971 under Coach John Vaught. I am the author of the Sports Law Book (For Coaches and Administrators) and the Sports Law Handbook for Coaches and Administrators (with Legal Forms),