Fillable Printable Tattoo Liabilty Release Form
Fillable Printable Tattoo Liabilty Release Form
Tattoo Liabilty Release Form
ADDICTED2TATTOOS
8820 N. Florida Ave.
Tampa, FL 33604
813-936-8282
Please initial all lines below, then fill in your
information and sign this form.
Date: _____________________
TATTOO RELEASE FORM
_______ I am at least 18 years old.
_______ I do not have epilepsy.
_______ I do not have hepatitis.
_______ I am not a hemophiliac (bleeder).
_______ I do not take blood thinners.
_______ I do not have a heart condition.
_______ I am not under the influence of drugs or
alcohol.
_______ To my knowledge I don’t have any
physical, mental or medical impairment, condition, or
disability which might affect my wellbeing as a direct
or indirect result of my decision to have any tattoo-
related work performed on me.
_______ I agree to follow all instructions concerning
the care of my tattoo while it is healing and
afterward.
_______ I agree that any touch-up work needed,
due to my own negligence, will be done at my own
expense.
_______ I understand that if my skin color is darker,
the colors will not appear as bright as they do on
light skin.
_______ Being of sound mind and body, I hereby
release any and all persons representing
Addicted2Tattoos from all responsibility, now and in
perpetuity.
_______ I accept any and all responsibility myself
for any consequences that might stem from my
decision to have any tattoo-related work done by a
representative of Addicted2Tattoos.
_______ I agree for myself, my heirs, assigns, and
legal representatives to hold harmless from all
damages, actions, causes of action, claim
judgments, costs of litigation, attorney’s fees, and all
other costs and expenses which might arise from my
decision to have any tattoo-related work done by a
representative of Addicted2Tattoos.
_______ I agree to leave the premises of
Addicted2Tattoos, or any other establishment where
Addicted2Tattoos is engaged in business, promptly
upon request, for any reason whatsoever, by any
agent or employee of Addicted2Tattoos.
_______ I agree to pay for any and all damages or
injuries to any and all persons and property
belonging to Addicted2Tattoos, or any other person
to whom Addicted2Tattoos and representatives may
become liable contractually or by operation of law,
caused by, or resulting from my decision to have
any tattoo-related work done by a representative of
Addicted2Tattoos.
_______ I agree that these waivers also pertain to
and are designed to protect any and all
establishments where Addicted2Tattoos conducts
business.
_______ I have read and understood each of the
above paragraphs.
Signature: ________________________________
Print Name: _____________________________
Address: _________________________________
_________________________________________
Apartment or suite: _________________________
City: _____________________________________
State: ______ Zip code: __________________
Phone: __________________________________
(include area code)
Email: ___________________________________
_______ I agree to receive email from
Addicted2Tattoos. I understand that
Addicted2Tattoos will not share my information in
any way, except as required by law, with any 3
rd
parties.
All tattoos must be paid in advance of process.
_______All clients must present valid ID, and
agree to being photographed by
Addicted2Tattoos agent.
________ Photos will be used in portfolios and
as promotion for Addicted2Tattoos. I agree to
release my pictures for any use by
Addicted2Tattoos.
________ I AGREE THIS SHOP HAS A NO
REFUND POLICY ON TATTOOS, PIERCINGS
AND/OR RETAIL SALES AND I WILL NOT ASK
FOR A REFUND FOR ANY REASON
WHATSOEVER.
Artist name: ___________________________________ Location of Tattoo: _______________________
Notes:
