Starkweather Tattoo Consent Form

This is a procedure release and waiver of all claims form.

I acknowledge by signing this waiver that I have been given the full opportunity to ask any and all questions I might have about obtaining a tattoo from artist listed below, hereafter to as the studio. I acknowledge that all my questions have been answered to my full and total satisfaction. I especially acknowledge I have been advised of the matter set forth below, and the technician shall not perform a body art procedure if the client fails to complete or sign the disclosure and authorization form, the technician may decline to perform a body art procedure if the client has any identified health conditions. 
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Covid-19 Questions:

Are you experiencing any flu symptoms? (Shortness of breath, sore throat, cough, fever, fatigue, vomiting, loss of smell and taste)
PLEASE CHECK:

MEDICAL CONDITIONS:

Please indicate below, if not applicable, write "N/A" in space provided.

Upload Picture of State Issued ID

Thank you for filling out the consent form, we appreicate you. An artist should be with your shortly. If you have any questions before your appointment, just let us know! We are happy to help you with anything you need.