A powerful electronic tattoo waiver app applying to all mobile phones

30 Phenix Ave. 

Cranston RI 02920 ​


Tattoo Liability Wavier Form

I acknowledge by signing this agreement, that I have been given the full opportunity to ask any and all questions which I might have about the obtaining of a tattoo and all of my questions have been answered to my satisfaction. I have reviewed and approved the design and the spelling is correct. I specifically acknowledge  that I have been advised of the facts and matters set forth below and agree as follows:

  • If I have any condition that might affect healing of this tattoo, I have advised the tattooer.

  • I am not pregnant or nursing.

  • I am not under the influence of drugs or alcohol.

  • I do not have any infections or rashes. I have advised my tattooer if I do.

  • I acknowledge it is not  possible for the representatives and employees of Phoenix Tattoo and Wellness Center to determine whether I may have an allergic reaction to the pigments, aftercare ointments/salves or soaps or processes used in my tattoo, I agree to accept  such risk is possible.

  • I acknowledge that infection is always possible as a result of obtaining a tattoo, particularly in event that I do not properly take care of my tattoo. I will receive aftercare instructions and agree to follow them as directed.

  •  I understand that if my skin color is darker or if I have scarring/stretch marks colors may vary.

  •  I understand that photographs of the tattoo may be taken and used for both print and digital portfolios and possible magazine submissions.

  •  I understand that if I have skin treatments, laser hair removal, plastic surgery, tanning etc.  It may result in adverse changes in the appearance of my tattoo.

  • I acknowledge that a tattoo is a permanent change to my physical appearance and no representations has been made to me as the ability to later change or remove my tattoo.

  •  I do not have any mental or medical impairment or disability that may affect my well being as a direct or indirect result of my decision to have a tattoo.

  • I acknowledge that I am over the age of eighteen (18) and that I have truthfully represented to Phoenix Tattoo and Wellness Center that the obtaining of a tattoo is by my choice alone.

  • I acknowledge that if I am getting a name, or any word tattooed on my body I have accurately checked the spelling and any dates. I have also approved the style of font that will be applied to the skin

Please select at least one choice above.

By signing below I agree that all statements above are true and are agreed upon. I am consenting to be tattooed at Phoenix Tattoo and Wellness Center. 

Please enter your full name.
Please enter your phone number.
Please enter address.
Please enter valid date.
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