CONSENT FORM TATTOO PROCEDURE The Tattoo artist has given me the full opportunity to ask any question about the procedure and application of my tattoo and all of my questions, if any, have been answered to my total satisfaction. Variations in color and design may exist between the tattoo art I have selected and the actual tattoo when it is applied to my body. I also understand that over time, the colors and the clarity of my tattoo will fade due to unprotected exposure to the sun and the naturally occurring dispersion of pigment under the skin. 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 to its exact appearance before being tattooed. I release the right to any photographs taken of me and the tattoo and give consent in advance to their reproduction in print or electronic form. (For assurance, if you do not initial this provision, please inform the Tattoo Studio NOT to take any pictures of you and your completed tattoo). I agree that NEITHER Tattoo Studio OR Tattoo artist have a NO REFUND policy on tattoos, piercing and/or retail sales and I will not ask for a refund for any reason whatsoever. I hereby declare that I am of legal age (and have provided v alid proof of age and identification) and am competent to sign this Agreement. Name First Name Last Name Date MM DD YYYY Phone (###) ### #### Thank you!