Tattoo Consent Form

Please read this consent form thoroughly and don't hesitate to let us know if you have any questions or need any clarification.

Just so you know...

Stop Means Stop

You have the right to stop the session if you feel the need to, just clearly say "I need to stop for today, I would like to continue another day".
Please understand that you will have to pay for todays session as well as the rescheduled session if you chose to end your session before completion, as the appointment time was still reserved for you.

Breaks Are Okay!

If you need to take a short break please let your artist know. Sometimes a trip to the restroom or something to raise your blood sugar can make a difference.

We can provide you with a snack or beverage if you are feeling faint or unwell. If your need to take a break becomes frequent or longer than 5 min at a time, we may suggest completing the tattoo another day.

Chilly? Hot?

Let us know if you're struggling to adjust to the temperature of the room.

It is normal for our bodies to have difficulty regulating temperature while also trying to manage pain,

If you need a blanket or would like a fan we can provide that for you.

Distractions Are Welcome

We have stress balls and fidget toys for you to use as an anxiety outlet, which may help calm your nerves, relieve stress, and serve as a distraction in an overstimulating environment.

You are welcome to listen to music in headphones or request us to play a certain genre/artist.

Reverie Garden Studio Consent Form

PLEASE CHECK THE BOXES PROVIDED AFTER READING TO SHOW THAT YOU UNDERSTAND EACH PROVISION.

FEEL FREE TO ASK ANY QUESTIONS REGARDING THIS WAIVER.

In consideration of receiving a tattoo from Reverie Garden Studio including its artists, associates, apprentices, guest artists, or any employees, I agree to the following:

First Name

Last Name

Phone

Birthday

Upload File

I have been fully informed of the inherent risks associated with getting a tattoo. Therefore, I fully understand that these risks, known and unknown, can lead to injury including but not limited to: infection, scarring, difficulties in the detection of melanoma and allergic reactions to tattoo pigment, latex gloves and/or soap. Having been informed of the potential risks associated with getting a tattoo I wish to proceed with the tattoo procedure and application and freely accept and expressly assume any and all risks that may arise from tattooing.

I WAIVE AND RELEASE to the fullest extent permitted by law, any person of Reverie Garden Studio from all liability whatsoever, including but not limited to, 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 procedure and application of my tattoo, whether caused by the negligence or fault of either Reverie Garden Studio, or otherwise.

Reverie Garden Studio has given me the full opportunity to ask any question about the procedure and application of my tattoo and all of my questions, if any, have been answered to my total satisfaction.

Reverie Garden Studio has given me instructions on the care of my tattoo while it's healing. I understand and will follow them. I acknowledge that it is possible that the tattoo can become infected, particularly if I do not follow the instructions given to me. If any touch-up work to the tattoo is needed due to my own negligence, I agree that the work will be done at my own expense.

I am not under the influence of alcohol or drugs, and I am voluntarily submitting to be tattooed by Reverie Garden Studio without duress or coercion.

I do not suffer from epilepsy, hemophilia, heart condition(s), nor do I take blood thinning medication. I do not have any other medical or skin condition that may interfere with the procedure, application or healing of the tattoo. I am not the recipient of an organ or bone marrow transplant or, if I 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. I do not have a mental impairment that may affect my judgment in getting the tattoo.

Reverie Garden Studio is not responsible for the meaning or spelling of the symbol or text that I have provided to them or chosen.

Variations in color and design may exist between the tattoo art I have selected and the actual tattoo when it is applied to my body. I also understand that over time, the colors and the clarity of my tattoo will fade due to unprotected exposure to the sun and the naturally occurring dispersion of pigment under the skin.

A tattoo is a permanent change to my appearance and can 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 being tattooed.

I release the right to any photographs taken of me and the tattoo and give consent in advance to their reproduction in print or electronic form. (For assurance, if you do not initial this provision, please inform Reverie Garden Studio NOT to post any pictures of you and/or your completed tattoo).

I agree that Reverie Garden Studio has a NO REFUND policy on tattoos and/or retail sales and I will not ask for a refund for any reason whatsoever. The studio is glad to honor a free touch up for the tattoo only within 6 months of the initial appointment date under the expectation that I followed all given instructions.

I agree to reimburse Reverie Garden Studio for any attorneys' fees and costs incurred in any legal action I bring against Reverie Garden Studio and in which either the Artist of Reverie Garden Studio is the prevailing party. I agree that the courts located in the County of Kings within the State of New York shall have jurisdiction and venue over me and shall have exclusive jurisdiction for the purposes of litigating any dispute arising out of or related to this agreement.

I acknowledge that I have been given adequate opportunity to read and understand this document and grasp that I am signing a legal contract waiving certain rights to recover damages against Reverie Garden Studio. If any provision, section, subsection, clause or phrase of this release is found to be unenforceable or invalid, that portion shall be severed from this contract. The remainder of this contract will then be construed as though the unenforceable portion had never been contained in this document. I hereby declare that I am of legal age (and have provided valid proof of age and identification) and am competent to sign this Agreement.

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

Your Signature

Select a date

Click here to download