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Please read this page carefully and fill out the form to proceed with your tattoo procedure.

  1. If I have any condition that might affect the healing of this tattoo, piercing, or microbladed brows I will advise my artist. I am not pregnant or nursing. I am not under the influence of alcohol or drugs.

  2. I acknowledge that infection is always possible as a result of the obtaining of a tattoo, particularly in the event that I do not take proper care of my tattoo. I have received aftercare instructions and I agree to follow them while my tattoo is healing. I agree that any touch-up work needed, due to my own negligence, will be done at my own expense.

  3. I acknowledge it is not reasonably possible to the representatives and employees of Valraven Ink LLC to determine whether I might have an allergic reaction to the pigments or processes used in my procedure, and I agree to accept the risk that such a reaction is possible.

  4. I realize that variations in color and design may exist between any tattoo as selected by me and is ultimately applied to my body. I understand that if my skin color is dark, the colors will not appear as bright as they do on light skin.

  5. I understand that if I have any skin treatments, laser hair removal, plastic surgery or other skin altering procedures, it may result in adverse changes to my tattoo.

  6. I acknowledge that a tattoo is a permanent change to my appearance and that no representations have been made to me as to the ability to later change or remove my tattoo. To my knowledge, I do not have a physical, mental or medical impairment or disability which might affect my well being as a direct or indirect result of my decision to have a tattoo done.

  7. I acknowledge that I am aware of these signs and symptoms of infection which include but aren’t limited to: redness, swelling, tenderness of the procedure site, red streaks going from the procedure site towards the heart, elevated body temperature, or purulent drainage from the procedure site. *These signs and symptoms indicate the need to seek medical care.

  8. l acknowledge that I am not pregnant or might be pregnant.

  9. I am aware that the inks used in this procudure are not FDA approved.

  10. I acknowledge I am over the age of eighteen and that I have truthfully represented to my artist that the obtaining of a tattoo is by my choice alone. I consent to the application of the tattoo and to any actions or conduct of the representatives and employees of Valraven ink LLC reasonably necessary to perform this procedure.

TATTOO consent & release form

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Medical questionaire (*Check all that apply)

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