Consent Form
I hereby state that the following is true & correct. I am 18 years of age or older. I am not under the influence of drugs or alcohol. I do not have a communicable disease nor any condition which may impair my ability to receive a tattoo or Permanent Makeup. further I am aware of the Permanence of the markings, the possibility of Pain or discomfort, the risk of infection & the Possibility of an allergic reaction to pigments or other materials used. To my knowledge I do not have any physical, mental or medical impairment or Disability which might affect my wellbeing as a direct or indirect result of my decision to have any tattoo related Work performed at this time. Being of sound of mind & body, I hereby release any & all persons representing Exile Tattoo from all responsibility or liability for any consequences that stem from my decision to have Tattoo related work done. I agree to these waivers as they are directed to protect Exile Tattoo.
First Name
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Artist
Luis
Yvonne
Lenny
Gwen
Tony
Chiro
Cyan
Guest Artist
Kayla
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