Waiver

Waiver
This is a standard release form and a legally binding document.
Please read the entire form and sign at the bottom and take a PHOTO of your I.D.

* Indicates required field

I certify that I am at least 18 years of age and have presented identification for verification.* *

I Agree

I certify that I am not under the influence of alcohol or drugs of any kind. *

I Agree

I certify to the best of my knowledge that I am not suffering from any mental or physical condition that could affect the well being of myself, the workers, or other clients of Shangri La Tattoo.* *

I Agree

Indicate below any of the following conditions that you may have, knowing that these conditions may affect the outcome of your physical being, the healing, or the integrity of your tattoo: *

Comments *

COVID 19 Screening

Have you had a new or worsening cough?* *

Yes No

Have you had a fever?* *

Yes No

Have you had shortness of breath?* *

Yes No

Have you been in close contact with anyone with these symptoms or anyone who has been diagnosed with COVID-19 in the past 14 days?* *

Yes No

Email *

Name *

First

Last

Date of Birth: *(MM/DD/YYYY) *

Date *

The Health Department requires that we keep a copy of your photo I.D. Click below to take a photo of your I.D.* *

I Agree

Upload ID Photo *

Max file size: 20MB

I release the artists and workers of Shangri La Tattoo of all responsibilities that can be related directly or indirectly to my getting tattooed. I accept all responsibility and consequences of having a tattoo, good or bad. I agree to release Shangri La Tattoo and any of its artists or workers of any liability in connection with any and all damages, claims, demands, rights, and causes of action of whatever nature based upon injuries, or property damage, or death of myself or any other person arising from my decision to have a tattoo or tattoo related work done, whether or not caused by myself or the negligence of any worker at Shangri La Tattoo. If I have any problems or questions about the healing of my tattoo I agree to first contact my tattoo artist or worker at Shangri La Tattoo before I seek any further medical advice. I understand that I may be charged for tattoo touch-ups if they are needed as a result of my own negligence during the healing lifetime of the tattoo. I agree to pay for any damages and injuries to all persons and property at Shangri La Tattoo that I may have caused due to my having been tattooed. Having read and filled out the above document, I agree to relinquish all future claims against Shangri La Tattoo and/or its workers that may come as a result of my having been tattooed. I also agree that all the personal information about myself on this form is true to the best of my knowledge and any worker at Shangri La Tattoo cannot be held responsible for any situation occurring due to my lying on this form. *

I Agree

Sign here (in studio):

Waiver​This is a standard release form and a legally binding document. ﻿​Please read the entire form and sign at the bottom and take a PHOTO of your I.D.

COVID 19 Screening

Waiver
This is a standard release form and a legally binding document.
Please read the entire form and sign at the bottom and take a PHOTO of your I.D.