Consent Form

Opal Lotus Tattoo Consent Form

RELEASE AND WAIVER OF LIABILITY AND ASSUMPTION OF RISK (“Agreement”)

The following unsworn declaration is made in lieu of a sworn affidavit in accordance with §132.001 of the Texas Civil Practice & Remedies Code:

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I acknowledge by signing this agreement (“Agreement”) that I have been given the full opportunity to ask any and all questions which I might have about obtaining a tattoo and/or piercing and that all of my questions have been answered to my full satisfaction. I specifically acknowledge I have been advised of the facts and matters set forth below and I agree and place my Initials as follows:

• I (or Minor, if applicable) am not pregnant or nursing.

• I (or Minor, if applicable) do not have a medical or skin conditions such as, but not limited to acne, scarring (Keloid), eczema, psoriasis, freckles, moles or sunburn in the area to be tattooed that may interfere with said tattoo. I will advise Artist if I (or Minor, if applicable) have any type of infection or rash anywhere on my (or Minor’s, if applicable) body.

• I acknowledge it is not reasonably possible for the representatives and employees of Opal Lotus, LLC to determine whether I (or Minor, if applicable) might have an allergic reaction to the pigments or processes used in my (or Minor’s, if applicable) tattoo and/or piercing, and I agree to accept the risk that such a reaction is possible.

• I understand that a tattoo and/or piercing may take several weeks to heal properly.

• I realize that variation in color and design may exist between any tattoo as selected by me and as ultimately applied to my (or Minor’s, if applicable) body. I understand that if my (or Minor’s, if applicable) skin color is dark, the colors will not appear as bright as they do appear on light skin.

•I understand that if I (or Minor, if applicable) have any skin treatments, laser hair removal, plastic surgery or other skin altering procedures it may result in adverse changes to my (or Minor’s, if applicable) tattoo.

• I understand that a tattoo is a permanent change to my (or Minor’s, if applicable) appearance and that no representation has been made to me as to the ability to later change or remove my (or Minor’s, if applicable) tattoo. To my knowledge, I (or Minor, if applicable) do not have a physical, mental or medical impairment or disability which might affect my (or Minor’s, if applicable) wellbeing as a direct or indirect result of my decision to have a tattoo.

• I understand that any employee of Opal Lotus, LLC, including but not limited to Artist, does not act in the capacity of a medical professional when performing a tattoo and/or piercing. The suggestions made by any employee or agent of Opal Lotus, LLC are not to be construed as or substituted for advice from a medical professional. 

• I consent to the application of the tattoo and/or piercing and to any actions or conduct of the representatives and/or employees of Opal Lotus, LLC that are reasonably necessary to perform the tattoo and/or piercing procedure.

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(“Minor”), Minor will be the subject of the tattoo and/or piercing procedure. I have the legal right to consent to and, by signing below, I hereby do consent to the terms and conditions of this Release and Waiver of Liability and Assumption of Risk. I have presented evidence of my status as parent or guardian of Minor to Artist or any other Opal Lotus, LLC employee, agent, or representative.
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I hearby accept all terms on this contract with Opal Lotus Tattoo