Tattoo Health & Waiver Form

Please take a minute to fill in the following form 2 hours previously from your tattoo appointment, or within your arrival at the studio.

You acknowledge by signing this agreement that you have been given the full opportunity to ask and all questions which you might have about the obtaining of a tattoo and that all of your questions have been answered to your full satisfaction. You specifically acknowledge you have been advised of the facts and matters set forth below and and agree as follows:

Personal Info:

First name

Last name

Date of your Tattoo Appointment:

Health

Health:

If I have any condition that might affect the healing of this tattoo, such as mentioned in the consultation form I will advise my tattooer.

I am not pregnant, nursing, postpartum, or post-weaning.

I also acknowledge that I do not have any communicable disease such as HIV-AIDS, HEP. A/B/C, or any other strains, etc. If l have any of the above or other infections or rashes anywhere on my body, I will advise my tattooer.

I acknowledge it is not reasonably possible for the artist to determine whether I might have an allergic reaction to the pigments or processes used in my tattoo, and I agree to accept the risk.

I acknowledge that infection is always possible as a result of the obtaining of a tattoo, particularly in the event that I do not take proper care of my tattoo.

I have received aftercare instructions (https://www.julianybraga.me/aftercare) and I agree to follow them while my tattoo is healing. I agree that any touch-up work needed, due to my own negligence, will be done at my own expense.

I consent to the application of the tattoo and to any actions or conduct of the artist reasonably necessary to perform the tattoo procedure.

I understand that touch-ups are free within 6 months of getting the tattoo, by the original artist. The Artist have the right to refuse free touch-ups if it is not necessary - the art healed properly (as it may cause issues with the art), customer did not inform of skin lesions or did not take care of their tattoo properly.

If you have any of the conditions mentioned above and you didn't check one of the checkboxes, please state the reason below:

Do you have Allergies/ skin allergies? if yes, what?

Is this your first tattoo?

Yes

Are you afraid of needles?

Yes

Have you eat in the past 2 hours? (Should be yes) If no, get yourself some chips

Yes

Have you ever fainted?

Yes

Are you taking any medications such as: antibiotics, Accutane, Minomycin (or any other Tetracycline-related medication), blood thinners (check specifics), aspirin? If yes, What?

Do you understand Juliany will not perform the tattoo if you use or plan on using any recreational drugs (including weed/alcohol) before or/ at the day of this appointment?

Yes

Clients are advised that the use of numbing cream may impact the tattoo process by affecting pigment adherence, potentially leading to uneven results or skin reactions. Proper healing is crucial, and complications arising from the use of numbing cream may negatively impact the tattoo's outcome. Please note that free touch-ups will not be provided if the client applies numbing cream, as it may interfere with the vibrancy of pigments, quality and longevity of the tattoo.

Legal:

Do you authorize the artist to photograph or film your tattoo—while ensuring your identity and privacy are protected—for use in personal, promotional, social media, and marketing content, as well as other relevant purposes?

YES

This authorization allows the artist to document their work while respecting your privacy. Tattoo artists rely on photos and videos to showcase their skills, attract potential clients, and build their portfolio. Sharing these images on social media and other promotional platforms helps the artist gain visibility and establish credibility in the industry.

By agreeing to this, you grant permission for your tattoo to be featured while ensuring that your identity remains protected. This means any per

If you do not check the photograph provision, please advise and remind your Artist is NOT to take any pictures of you and your completed tattoo.

Legal:

I state that I am of age (18) to receive a tattoo. I acknowledge that I am of age, and the artist is not responsible for further identification. If I lie about my age, the artist is not responsible for my well being.

Option If I sign and I am not the stated age Juliany B. D. Batista has the right to legally pursue action against me.

I will not hold Juliany B. D. Batista responsible for the work performed on me and acknowledge that this is the tattoo I have requested (I have seen the artwork and/ or the stencil when it was placed on my body and agreed with the art)

I recognize that I am not currently experiencing any physical, mental, or medical conditions that could potentially impact my overall health due to my decision to get a tattoo.

If Scripts included - All spelling is correct, this is the artwork I requested, I have checked and asked any and all questions.

I agree to reimburse the Artist for any attorneys’ fees and costs incurred in any legal action I bring against the Artist even if in which the artist is the prevailing party.

I agree that the courts of Vancouver BC in CANADA 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.

TO WAIVE AND RELEASE to the fullest extent permitted by law the Artist from all negligence, liability whatsoever, for any and all claims or causes of action that I, my estate, heirs, executors 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 tattoo, whether caused by the negligence or fault of the Artist or otherwise.

I have read and understood this agreement, and I agree to its terms.

To confirm your age and identity please, attach a picture of a piece of ID Below or present it personally to the artist:

The image of your ID included in this document is used solely for verification purposes. It is not stored in any personal databases and will not be accessed, saved, or used beyond the necessary verification process. Once verified, the ID image is not retained for future use.

(You must be 18+ to sign) Your Signature:

Signature field is empty.

Signing Date:

Month

Day

Year

Tattoo artists require legal and health waiver forms to ensure both the client’s and the artist’s protection. Here’s why these forms are important:

1. Legal Protection

Informed Consent – The form confirms that the client understands the risks involved in getting a tattoo (such as potential pain, healing issues, or allergic reactions).
Liability Release – It helps protect the artist and shop from legal claims if the client experiences complications after the procedure.
Age Verification – Many places require proof that the client is of legal age to get a tattoo.

2. Health & Safety

Medical Conditions Disclosure – Clients may have conditions like diabetes, allergies, or skin disorders that could affect healing or increase risks.
Infection Prevention – The waiver ensures clients acknowledge aftercare responsibilities to minimize infection risks.
Bloodborne Pathogens Awareness – Tattooing involves skin penetration, so it's crucial to confirm the client has no contagious conditions that could pose a risk.

3. Business Compliance

Many regions require tattoo artists to maintain proper documentation for health inspections and legal compliance.

In short, waiver forms protect everyone involved and ensure a safe, professional tattooing experience.