Little Pricks Tattoo 

Client Tattoo Form
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You are hereby notified of the possible risks and dangers associated with the application of each tattoo. These risks and dangers include, but are not limited to, at least the following:

I. the possibility of discomfort or pain;
II. the permanence of the markings;
III. the risk of infection; and
IV. the possibility of allergic reaction to the pigments or other materials used.

NO PERSON MAY BE TATTOOED WHO APPEARS TO BE UNDER THE INFLUENCE OF ALCOHOL OR DRUGS. YOU ALSO AGREE TO THE FOLLOWING BELOW.

I am over 18 years of age.

I do not suffer from Hepatitis, HIV, AIDS, or other communicable diseases. I have informed my artist or piercer.

I do not have epilepsy or hemophilia.

I am not pregnant or nursing.

I do not suffer from any heart conditions, nor do I take medications that thin my blood.

I have informed my artist of any conditions I may have, such as Diabetes, that may hamper my healing post-procedure.

I do not suffer from any skin diseases or conditions such as keloid scarring, hypertrophic scarring, psoriasis, sunburn, bruising, eczema, or any other condition at the site of the procedure. 


I am not under the influence of drugs or alcohol. I am of sound mind, and the decision to receive this tattoo is my decision.

I understand that the procedure will cause a permanent change to my appearance. 

I understand that there has been no representation of the ability that my skin can be restored to a pre-procedure condition.

I understand that there may be variations in color, design, or overall outcome between any tattoo selected by me that is ultimately applied to my body.

I understand that colors may not appear as bright as displayed. 

I understand that infection is a possibility from obtaining a tattoo, particularly in the event that I do not take care of my tattoo properly. 

I understand that this establishment, Little Pricks Tattoo, or its affiliates will not be held liable for medical expenses that may become associated with the tattoo. 

I do not exceed 350 lbs of weight. Our furniture does not support persons over 350 lbs. 

I consent to photography, filming, and audio recordings of myself inside the establishment and content to the use of photography, filming, and audio recordings of myself in portfolios, advertisements, and personal projects.  

I understand that the overall price of the tattoo is subject to change depending on what is added, subtracted, or changed with the design and placement. 

I understand that if my artist leaves the establishment after my deposit has been made or during my tattoo, I must follow up with my artist for refunds and rescheduling. 

I understand that deposits, tattoos, or procedures are non-refundable.



 
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I have received a copy of applicable written care instructions and I have read and understood the after-care instructions. (If not you can download them by clicking here.)

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