Name *

First Name

Last Name

Phone *

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Date of Birth *

MM

DD

YYYY

I have been fully informed of the inherent risks associated with getting a tattoo. I fully understand that these risks, known and unknown, can lead to injury, including but not limited to infection, scarring, difficulties in the detection of melanoma, and allergic reactions to tattoo pigment and/or soap. Having educated myself on the potential risks associated with getting a tattoo, I still wish to proceed with the tattoo procedure and application, and freely accept & expressly assume any & all risks that may arise from tattooing. *

Yes

I waive and release, to the fullest extent permitted by law, Attajaan Ramji and Unfiltered Beauty from all liability whatsoever, for all claims or causes of action that I may have from personal injury or otherwise. This includes direct and/or consequential damages, which result or arise from the procedure and application of my tattoo, whether caused by the negligence or fault of either the artist (Attajaan Ramji), Unfiltered Beauty or otherwise. *

Yes

I will ensure to ask my artist any questions before the tattoo appointment. All of my questions so far have been answered to my complete satisfaction. *

Yes

I have read and understood all the emails sent to me prior to my tattoo appointment. I have been given instruction on the care of my tattoo while it is healing and I understand them and will follow them. I acknowledge that it is possible that the tattoo may become infected, particularly if I do not follow the instructions given to me. If any touch up work is needed, I agree to pay the touch-up fee, at the artist’s discretion. *

Yes

I am not under the influence of alcohol or drugs, and I am voluntarily submitting to be tattooed without duress or coercion. I confirm I will not be under the influence while getting tattooed. I legally declare I am 18 or older. *

Yes

If I am nursing, I have taken measures to ensure that I will not breastfeed for the next 24 hours. I am not pregnant. *

Yes

I do not have any medical or skin conditions that may interfere with the procedure, application or healing of the tattoo. This may include, but is not limited to: diabetes, epilepsy, hemophilia, or any heart conditions. I do not take medication that thins my blood. I am not the recipient of an organ or bone marrow transplant or, if I am, have taken the prescribed preventative regimen of antibiotics that is required by my doctor in advance of any invasive procedure such as tattooing. I do not have a mental impairment that may affect my judgement in getting the tattoo. *

Yes

Neither the artist (Attajaan Ramji), nor Unfiltered Beauty, is responsible for the meaning or spelling of the symbol or text that I have provided to them, commissioned from them, or chosen from the flash available. *

Yes

Variations in colour and design may exist between the tattoo art I have selected and the actual tattoo when it is applied to my body. I also understand that over time, the colours and the clarity of my tattoo will fade due to sun exposure and the natural dispersion of pigment under the skin. *

Yes

I understand that a tattoo is a permanent change to my appearance and can only be removed by laser or surgical means. This can be disfiguring and costly, and may not result in the restoration of my skin to its exact appearance before being tattooed. *

Yes

I have not taken accutane in the past 365 days. * *

Yes

No

I have advised my artist of any communicable disease that I could transfer, including but not limited to the flu, common cold, HIV/AIDS or hepatitis.  *

Yes

I release the right to any photos & videos taken of me and the tattoo and give consent in advance to their reproduction in print or electronic form.  *

Yes

No

I agree that Unfiltered Beauty has a strict no-refund policy on tattoo payments and deposits, and I will not ask for a refund for any reason whatsoever *

Yes

I understand that if my tattoo does not heal well, I will be charged for touch-ups or a second session. I understand this can range from $50, for a small touchup, to the full rate, especially if I do not take care of my tattoo *

Yes

I acknowledge that I have been given adequate opportunity to read and understand this document. I understand that by clicking 'submit' I am signing a legal contract *

Yes

I understand that a non refundable deposit ($25 for Flash Sale appointments & 50% for all regular appointments) is required to secure my appointment time *

Yes