Itchin 4 Ink Tattoo LLC. Online Release Form

This Release Form is to state , I am 18 years of age or have the signed permission below of my aren't or legal guardian and I accept full responsibility for the administration and the willing participation in the act of receiving a Body Art Tattoo by Itching 4 Ink Tattoo LLC wherein the Body Art Tattoo as described bellow will be placed on my Body on the specified area. I furthermore release and give up...

All rights to legal action taken against Itching 4 Ink Tattoo LLC.

I Acknowledge that I have freely and voluntarily chosen the Tattoo received and the location of it.

I DO NOT, TO MY KNOWLEDGE, HAVE ANY OF THE FOLLOWING DISEASES:

Diabetes, Hepatitis, Acquired Immune Deficiency Syndrome (AIDS) or any other communicable diseases. I have read the Terms and Provisions contained in the below form and fully understand and agree to be bound by the terms contained herein, I do hereby certify that all representations made by me are true.

* Please Complete Form Below *

Client Name
Client Name
Date of Birth
Date of Birth
Phone
Phone
Address
Address

Thank you for your online release form submission we appreciate your business, we look forward to meeting with you.