TATTOO WAIVER
The SL County Health Department requires each patron to fill out this waiver before ANY tattoo procedure.
We have made this process as simple as possible. Click the next arrow at the bottom to proceed.
You will need a State or Federally issued Photo ID
If under 18 there are additional documents and requirements.
Your verified parent or legal guardian must remain present during the entire procedure.
The state of Utah requires you to provide a valid Birth Certificate -OR- Legal Adoption Papers with Names printed -OR- Court appointed Guardianship Papers Proving legal guardianship. -AND- State or Federally issued PHOTO ID of BOTH parent/legal guardian -AND- Minor.
All names must match all corresponding documentation.
-NO EXCEPTIONS FOR ANY REASON AT ANY TIME-
This is State law
Please select your artist below. If you are unsure, just ask the front desk for your artists name.
• The Artists at and the representatives of Aloha Tattoos, Aloha Tattoo, LLC and/or Ancient Marks, LLC reserve the right to refuse service to anyone, at any time, for any reason._____________________
• I have eaten in the past TWO (2) hours.
• I have NOT consumed alcohol or other intoxicants in the past twenty-four (24) hours.
• I do not have any mental impairment that may affect my judgment, and I am voluntarily submitting to be tattooed of my own free will without duress or coercion.
_____________________
• I do not currently have, nor have I contracted Hepatitis, Jaundice or any other communicable disease or other infection, including bacterial endocarditis in the past twelve (12) months.
• I am in generally good health and I do not have any; ALLERGY, (including but not limited to latex, iodine, pigments, metals, or other products routinely used in a body art procedure); MEDICAL CONDITION(S) (including but not limited to lupus, diabetes, or hemophilia) or undergone any recent surgeries; SKIN CONDITION(S) (including but not limited to rash, pimples, boil, infection or symptoms of a communicable disease) that may interfere with the application or healing of this tattoo.
• I do not take, and I have not ingested any medication (including, but not limited to blood thinners such as aspirin or ibuprofen) in the past twenty-four (24) hours that may interfere with the application or healing of the tattoo
• If Female; I am NOT pregnant or nursing.
• The procedure is considered permanent in that it can only be removed with a surgical procedure and any effective removal may leave permanent scarring and/or disfigurement. I fully understand the risks associated with this procedure, including but not limited to the risk of fainting, vomiting, and infection; including bacterial endocarditis for patrons with a heart condition.
• I release all rights to any photographs or recordings taken of me and/or the tattoo.
• I give express written consent in advance to reproduction in print or electronic form without compensation.
• The Artist and/or Ancient Marks, LLC or Aloha tattoo, llc (DBA Aloha Tattoos) is not responsible for the meaning or spelling of the symbol or text that I have provided, commissioned, chosen, or found on the internet. In addition, I understand that variations in color and design will exist between the design that I approve and the actual tattoo that is applied to my body. I understand that over time, the colors and the clarity of the tattoo may fade due to unprotected exposure to the sun, my actual aftercare for the first two weeks, and the naturally occurring dispersion of the pigment.
• Instructions on the care of my tattoo while it’s healing have been provided via email and verbally (also available at: www.AlohaTattoos.net/aftercare-tattoos I understand the importance of these instructions and will follow them. I acknowledge that it is possible that the area can become infected, particularly if I do not follow these instructions precisely. If any touch-up work is needed due to my own negligence, I agree that the work required to fix it will be done at my own expense, billed at the normal shop rate.
• I understand that once the procedure has begun, I will be responsible for payment in full as agreed upon. I agree to pay in full before leaving the shop.
• I understand that there are no refunds of any kind for any reason
• I understand that any discussed price is based on a set shop rate and it may vary; especially if I take excessive breaks, move to the point that extra time is necessary to fix portions of the tattoo, or neglect to follow the instructions of the artist during the procedure.
• I acknowledge that in addition to a potential increase in cost, Moving even a minute amount may cause the tattoo to turn out poorly due to my own negligence.
• I understand that errors made due to my own negligence are solely my fault, and that I have been informed ahead of time the importance of holding still during the entire procedure, and the potential outcome of any such movements during the procedure .
• I acknowledge that I have been given adequate opportunity to read and understand each item in this document.
• I understand that I am signing a legal contract waiving certain rights.
• Knowing this, I wish to proceed with the tattoo procedure.
Model Release Agreement
I hereby grant Aloha Tattoo, LLC, and/or Ancient Marks, LLC and its representatives the irrevocable right and permission to use, reproduce, and publish photographs and/or videos taken of me, or my tattoo, and the prceedure, for promotional, advertising, and educational purposes. This includes, but is not limited to:
• Aloha Tattoos’ website, social media platforms, and marketing materials
• Print publications, digital content, and portfolio displays
• Educational content and artist showcases
I understand that:
1. The images and videos may be edited, altered, or modified for creative purposes.
2. I will not receive compensation for the use of these images or videos.
3. My identity may or may not be disclosed, depending on the context of use. (Social Media account tags)
I release Aloha Tattoos, its artists, and affiliates from any claims, demands, or liabilities arising out of the use of these images or videos.
Apprentice tattoo consent
I understand that I have elected to get this tattoo by an apprentice That is still in the process of learning to tattoo. I have been given the opportunity to ask questions about this and I am giving my consent to be tattooed by this apprentice at Aloha Tattoos today.