COVID TRACK AND TRACE
Please read this CAREFULLY:
By filling in the information below and submitting this for I can declare that:
- I am over 18 years old
- I am neither under the influence of alcohol or drugs
- I do not suffer from/ have history of:
High Blood Pressure
Epilepsy (or other seisure inducing conditions)
Hepatitis A, B, C
Heart Disease or Pace maker
Immune disorders or medication
Allergies to latex
Blood thinning medication
Allergies to medical tape adhesive
- If you have any of the conditions above please speak to me immediately
I acknowledge by signing this agreement that I have been given the full opportunity to ask any and all questions about getting tattooed and that my questions have been answered to my full satisfaction. I specifically acknowledge that I have been advised of the facts and matters set forth and agree as follows:
I acknowledge that it is not reasonably possible for Nathan Lee to determine whether I might have an allergic reaction to the pigments or processes used in my tattoo. I accept that to accept that such a reaction is possible. I acknowledge that a skin test has been made available to me prior to the tattoo appointment. 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 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. I realise that variations in colour and design may exist between any tattoo as selected by me as ultimately applied to my body. I understand that if I have a dark complexion, the colours will not be as bright as on lighter skin.
I understand that if I have skin treatments e.g laser hair removal, plastic surgery or other skin altering procedures it may result in adverse changes to my tattoo.
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 any physical, mental or medical impairment or disability which might affect my well being as direct or indirect result of my decision to have a tattoo.
I am not pregnant or breast feeding
I have truthfully represented to my tattooist that the obtaining of a tattoo is my choice alone. I consent to the application of the tattoo and to any actions or conduct of the representatives and employees of the tattoo shop reasonably necessary to perform the tattoo procedure.
I understand that Nathan Lee is not liable for any damage caused by this.
I understand that any damage/ breakages caused by me or any of my guests while I am in the studio will result in me reimbursing Nathan Lee for repair or the replacement of broken Items.
I understand that this agreement is also proof that the correct aftercare procedure has been explained to me and any supporting documents if requested have been given to me to follow. I understand that I will follow these instructions during the healing process of my tattoo and until the tattoo is fully healed.