Stanwood Tattoo Company
Ask a staff member what to enter
Today's Date:
Sat Apr 27 2024 03:58
Practitioner:*
Tattoo Location (on body):*
Tattoo Release
Please read and answer
Illness*
I have not experienced fever, coughing, shortness of breath or other symptoms of cold, flu, COVID-19 or other viral illness in the past 72 hours.


IF YOU HAVE:
- a fever
- flu-like symptoms
- shortness of breath

YOU NEED TO NOTIFY A STAFF MEMBER IMMEDIATELY

Warning*
I have not used any numbing creams on the area I am having tattooed. (Improper use of numbing creams can cause seizures, cardiac arrest or death. Please tell your artist or a staff member if you have used a numbing cream).
Eaten*
I have eaten within the last four hours and am well hydrated. It's a good idea to eat before your tattoo to increase blood sugar levels. We do have snacks available in the lobby for all clients.
Risks*
I have been informed of the risks associated with getting a tattoo. I understand that these risks can lead to injury including but not limited to infection, scarring, difficulties in detection of melanoma, potential allergic reactions to tattoo pigment, latex gloves and/or soap. Having been informed of this by the Stanwood Tattoo Company, hereby also referred to by the initials “STC” in this document, I wish to proceed and consent to the tattoo procedure, freely accepting all risks involved.
Waive*
I waive and release to the fullest extent of the law any person working at and the STC from all liability whatsoever. This includes but is not limited to any and all claims or causes of action that I, my estate, heirs, executors or assigns may have for personal injury or otherwise, including direct and/or consequential damages which result or arise from the procedure and application of my tattoo.
Healing*
The artist and STC will give aftercare instructions on the care of my tattoo while it’s healing. I understand these instructions and acknowledge that it is possible that the tattoo can become infected, particularly if I do not follow these instructions. If any touch up work is needed due to my own negligence and unwillingness to follow these instructions, I agree that the work will be done at my own expense.

Aftercare Instructions: stanwoodtattoocompany.com/aftercare
Influence*
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.
Health*
I do not have any pre-existing medical conditions such as but not limited to diabetes, epilepsy, hemophilia or heart condition. I have not been the recipient of an organ or bone marrow transplant. I do not take blood thinning medication or have any other medical or skin condition that may interfere with the procedure, healing or application of the tattoo. If I do have any of these conditions, I have discussed the risks of any invasive procedures such as tattooing and piercing with my medical professional, understand & acknowledge those risks and have taken the appropriate preventative measures to proceed. I am not pregnant or nursing.
Spelling*
Neither the Artist nor the Tattoo Studio is responsible for the meaning or spelling of the symbol or text that I have provided to them or chosen from the flash (design) sheets.
Fading*
I understand that over time, the colors and clarity of my tattoo will fade due to sun exposure, aging and the naturally occuring dispersion of pigment under the skin.

Permanent*
A tattoo is a permanent change to my appearance and can only be removed by laser or surgical means, which can be disfiguring and/or costly and which in all likelihood will not result in the restoration of my skin.
Legal Action*
I agree to reimburse each of the Artist and STC for any attorneys' fees and costs incurred in any legal action I bring against either the Artist or STC and in which either the Artist or the STC is the prevailing party. I agree that the that the courts of Washington State in Snohomish County shall have personal jurisdiction and venue over me and shall have exclusive jurisdiction for the purpose of litigating any dispute arising out of or related to this agreement.
Photography
I release all rights to any photographs taken of me and the tattoo and give consent in advance to their reproduction in print or electronic form. (If you do not tick this provision, please advise your Artist).
Questions*
I acknowledge that I have been given adequate opportunity to read and understand this document, to ask questions, and that I am signing a legal contract waiving certain rights to recover damages against the STC.



Refunds*
I agree that the Stanwood Tattoo Company has a NO REFUND policy on tattoos, piercings and/or retail sales.
Touchups, Guarantees & Exclusions*
I understand that some tattoos will require touch-ups. STC offers one complimentary touchup within one year of being tattooed at the shop. Touch-ups do not include new additions to the tattoo.

Tattoos on the hands, fingers, palms, feet, toes, soles of feet, ears, behind the ears, neck, heels, ankles, elbows and kneecaps are excluded from complimentary touch-ups. Those parts of the body exfoliate skin at a much more rapid rate and typically are a harder to heal texture of skin. For this reason, they are not guaranteed or eligible for complimentary touch-ups.

If I experience severe bleeding or swelling or am unable to sit for the tattoo session, my artist may end the session early and work may not be guaranteed.

All guarantees on work are void if I do not follow the artist's professional advice or aftercare recommendations.
Legal Age*
I hereby declare that I am of legal age (and have provided valid proof of age and identification), and I am not under a legal guardianship or conservatorship that would interfere with my ability to consent to be tattooed and am competent to sign this agreement.
 
Is this your first tattoo?
 
If any provision, section, subsection, clause or phrase of this release is found to be unenforceable or invalid, that portion shall be severed from this contract. The remainder of this contract will then be construed as though the unenforceable portion had never been contained in this document.
Client Information
I hereby declare that I am of legal age (with valid proof of age) and am competent to sign this Agreement.
Legal Name:*
Pronoun:
Chosen name:
Address:*
Postcode:*
Date of birth:*
You must be 18 or older
Phone #:
Email:*
Signature:*


Emergency Contact
If something happens, your emergency contact might need to explain your medical history, allergies, or medications.
Name:
Phone #:*
Photo ID
Please take photo(s) of your government issued photo IDs and related paperwork.