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ENTERTAINMENT AND LIVE BANDS JUNE 2023
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Tattoo Artist Application JUNE 2023
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Liverpool Tattoo Convention
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Tattoo & Appointment Information
I understand that the potential risks of the procedure are: Scarring, Blood Poisoning/Septicaemia, Localised Infection, Allergic Reactions to Ink, Localised Swelling
*
Yes I understand and accept the risks.
Artists Name
*
Artists Email
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Location of Tattoo
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Date & Time of Appointment
*
Date
Time
If your tattoo contains lettering please give exact spelling
I do not currently suffer from or have a history of:
*
I confirm that the following is correct and that I do not currently suffer from or have a history of any of the medical conditions listed.
Impetigo, Cellulitis, Eczema, Psoriasis, Heart disease/disorders, Haemophilia, Low or High blood pressure Epilepsy, Diabetes HIV, Hepatitis B/C
Conditions which compromise the immune system,
Conditions that may cause haemorrhaging e.g leukaemia.
Conditions which may cause excessive bleeding Allergies to metals(including Nickel), Latex, antiseptics, adhesive dressings or topical dressings and medicines.
I am not under a course of medication.
I am not pregnant or breast feeding.
I am not under the influence of Alcohol, and or drugs. I have not taken Aspirin or other medicines that thin the blood.
I am over 18 years of age.
I agree to follow the procedures outlined in the written aftercare and understand that neglect to follow these procedures or poor hygiene could lead to improper healing of the tattoo and infection.
I have checked and verified the spelling of any lettering included within my tattoo(if applicable).
I do not suffer from any other condition through which my health may be compromised when receiving a tattoo.
Your Consent to the Procedure
I give my consent to the procedure
*
I confirm that I give my consent to the procedure and have read and agree with the terms and conditions below.
I declare that I give my full consent to the tattoo procedure being carried out by the practitioner named above. I confirm that the potential complications, e.g infection and swelling for the procedure undertaken, and aftercare instructions have been explained to me. I understand that I must follow the instructions given on the aftercare email. I confirm that the information provided by me on this consent form is correct to the best of my knowledge, that I am over the age of consent for this procedure(e.g 18) and that I am not under the influence of alcohol or drugs. I confirm that I have requested the procedure of my own free will. I hereby release Liverpool Tattoo, Design 4 Life Tattoo Ltd and the Artist carrying out the procedure from all manner of liabilities, claims, actions and demands in law or in equity. I understand the artist named carrying out the procedure is not connected to Design 4 Life Tattoo Ltd and this agreement is in force between you the client and the artist named. I understand Design 4 Life Tattoo and the Artist Named will retain this form for Internal Record keeping and compliance purposes and that information on this form will be stored on computer. You will also receive a copy of this form to your email account.
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