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waiver2

waiver2

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Published by Chef Joshua Diotte

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Published by: Chef Joshua Diotte on Mar 06, 2011
Copyright:Attribution Non-commercial

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08/06/2014

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Eagledancer Tattoos
 
Surrey, BC (604) 584-8464
CONSENT TO APPLICATION OF TATTOO AND RELEASEAND WAIVER OF ALL CLAIMS
 
I acknowledge by signing below that I have been given the full opportunity to ask any and all questions which I might have about the obtaining of a tattoo by
Eagledancer Tattoos
, and that all of my questions have been answered to my fulland total satisfaction. I specifically acknowledge that I have been advised of thefacts and matters set forth below, and aggree as follows:
A.
I acknowledge that it is not reasonably for the representatives andemployees of 
Eagledancer Tattoos
to determine whether I might have an allergicreaction to the dyes, pigments or processes used in my tattoo, and I agree to acceptthe risk that such a reaction is possible;
B.
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;
C.
I acknowledge receipt of written instructions advising me of the proper careof my tattoo, and I recognize the absolute necessity for following thoseinstructions;
D.
I realize that variations in color and design may exist between any tattoo asselected by me and as ultimately applied to my body;
E.
I acknowledge that a tattoo is a permanent change to my appearance andthat no representations have been made to me as to the ability to later change orremove my tattoo;
F.
I acknowledge that I have truthfully represented to the employees, agent andrepresentatives of 
Eagledancer Tattoos
that I am over the age of eighteen (18) years;
G.
I acknowledge that the obtaining of my tattoo is by my choice alone and Iconsent to the application of the tattoo and to any actions or conducts of theemployees of 
Eagledancer Tattoos
reasonably necessary to perform the tattooprocedure;
H.
I agree to release and forever discharge and hold harmless
Eagledancer Tattoos
, and it's agents, and employees from any and all claims, damages or legalactions arising from or connected in anyway with my tattoo or the procedures andconduct used to apply my tattoo.PLEASE ANSWER THE FOLLOWING:* Have you ever had hepatitis? ___ Yes ___ No* Have you tested HIV positive? ___ Yes ___ No* Any heart problems, seizures, blood disorders? ___ Yes ___ No

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