In consideration of receiving a tattoo at Pushing Inc. Tattoo Emporium (together with its employees, apprentices and agents, the “Tattoo Studio”), I agree to the following:

I acknowledge the inherent risks associated with getting a tattoo, including potential infection, scarring, and allergic reactions. I accept all risks involved and waive all claims against the Artist and Tattoo Studio for any injuries resulting from the tattoo process.

I confirm that I have no medical conditions that may interfere with the tattoo process and am not under the influence of substances. I understand that tattoos are permanent and can be costly to remove.

I release my rights to any photographs taken of me and my tattoo unless I specify otherwise.

Please fill out the following:

Client Full Name

Artists Name

Date:

Email *

Date of birth

Address

Age:

Phone *

Please check the following if they apply to you:

Alcohol consumption in the past 24 hours

Use of pain relievers

Prone to fainting

Consumed food in the past 2 hours

Would you like to receive our newsletter?

Yes

No

Client Signature

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For Minors:

Parent Acknowledgement

I, the parent/guardian of the minor participant, agree to release all claims and confirm I will accompany the minor to the appointment with valid ID.

Parents Signature

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