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Consent to BODY ART

Kimkim Tattoo LLC

1183 S Huron Street, Denver, CO 80223

WAIVE, RELEASE, AND CONSENT TO PERFORM BODY ART PLEASE READ AND BE CERTAIN YOU UNDERSTAND THE IMPLICATIONS OF SIGNING THIS DOCUMENT.

 

EACH PROVISION HAS TO BE MARKED WITH "I AGREE" AND REQUIRED FIELDS HAS BE FILLED OUT APPROPRIATLY.

IF YOU HAVE ANY QUESTIONS, PLEASE TALK TO YOUR BODY ARTIST.

I consent to receive BODY ART from artist

TO WAIVE AND RELEASE to the fullest extent permitted by law each, the Artist, and Kimkim Tattoo from all liability whatsoever for any and all claims or causes of action. That I. my estate, heirs, extractors or assigns may have for personal injury or otherwise, including any direct and/ or consequential damages, which result or arise from the application of my BODY ART whether caused by the negligence or fault of either the Artist or Kimkim Tattoo, or otherwise. Tattooing is permanent and removal may lead to scarring (section 1).

The Artist has given me the full opportunity to ask any and all questions about the application of my BODY ART and all of my questions have been answered to my total satisfaction (section 2).

The artist and Kimkim Tattoo have given me instructions on the care of my BODY ART while itis healing. I understand them and will follow them. I acknowledge that it is possible that the BODY ART may become infected, particularly if do not follow the instructions given to me. If any touch-up work of the BODY ART is needed due to my own negligence, 1 agree that the will be done at my own expense (section 3).

I am not under the influence of alcohol or drugs and am voluntarily submitting to have BODY ART performed by the Artist without duress or coercion (section 4).

I do not have diabetes, communicable disease, hemophilia, skin diseases or lesions, epilepsy. fainting or narcolepsy a heart condition nor do I take blood thinning medication (section 5).

I do not have any other medical or skin condition that may interfere with the application or healing of the BODY ART (section 6).

I do not have any allergies or sensitivities to pigment. dyes, soap. disinfectants, latex, or metal. I do not have history of seizures, fainting. or narcolepsy (section 7).

I am not the recipient of an organ or bone marrow or if am, I have taken the prescribed preventative regimen of antibiotics that is required by my doctor in advance of any invasive procedure such as tattooing or piercing. I am not pregnant or nursing (section 8).

I do not have a mental impairment that may affect my judgment in getting a tattoo (section 9).

I also understand that over time, the colors and the clarity of my BODY ART will fade due to unprotected exposure to the sun and the naturally occurring dispersion of pigment under the skin (section 10).

BODY ART is a permanent change to my appearance and only be removed by laser or surgical means, which can be disfiguring and/ or costly and which in all likelihood will not result in the restoration of my skin to its exact appearance before my BODY ART procedure (section 11).

I understand that all tattoo needles are pre-sterile from manufacturer. All disposable tubes are plastic pre-sterile from manufacturer. No stainless-steel equipment is used in this shop. Kimkim tattoo are 100% disposable. (section 12)

I release all rights to any photographs taken of me and my BODY ART and give consent in advance to their reproduction in print or electronic form. If you do not initial this provision please notify and remind your Artist and Kimkim Tattoo to not take any pictures of you and your completed BODY ART. Pictures are taken of BODY ART only and depending on location, may or may not include facial pictures (section 13).

I agree to reimburse the Artist and Kimkim Tattoo for any attorney fees and costs incurred in any legal action I bring against the Artist and Kimkim Tattoo in which the Artist or Kimkim Tattoo is the prevailing party. I agree that the courts of (Colorado) in (Denver County shall have personal jurisdiction and venue over me and shall have exclusive jurisdiction for the purpose of litigating any dispute arising out of or related to this agreement (section 14).

I agree that it’s not the fault of the Artist or Kimkim Tattoo if I don’t follow post care instructions given to me at the end of appointment (including removing bandage before recommended date, going in a water sources/hot tubs/saunas/swimming pools/etc. before my tattoo is completely healed, picking and physically damaging the tattoo) (section 15).

I acknowledge that I have been given adequate opportunity to read and understand this document, that it was not presented to me at the last minute, and I understand that I am signing a legal contract waiving certain rights to recover against the Artist and Kimkim Tattoo. If any provision, section, subsection, clause or phrase of this release is found to be unenforceable or invalid, portion shall be served from this contract. The remainder of the will then be constructed as though the unenforceable portion had been contained in this document (section 16).

 I hereby declare that I am of legal age (18 years of age and must prove valid proof of age) and am competent to sign this agreement, or if not of legal age. that my parent or legal guardian shall sign on my behalf and that my parent or legal guardian is in complete understanding and occurrence with this agreement. Minors must be at least 16 years of age (section 17).

Agrees that I have been fully informed of the inherent risk associated with getting any form of BODY ART. I fully understand that these risks known, and unknown can lead to injury, including but not limed to infection, scarring, difficulties in detecting melanoma and allergic reactions to tattoo pigment, latex gloves and or soap (section 18).

I wish to proceed with the BODY ART application and freely accept and expressly assume any and all risks that may arise from the BODY ART (section 19).

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I HAVE READ THIS AGREEMENT, I UNDERSTAND IT, AND I AGREE TO BE BOUND TO IT.

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