TATTOO CLIENT FORM

In consideration of receiving a tattoo from Thirdeye Beauty and Wellness LLC including its artists, associates, apprentices, agents, or any employees (hereinafter referred to as the “Tattoo Studio” I agree to the following:

• I acknowledge that I have been provided access to information regarding the inherent risks associated with receiving a tattoo. I understand that tattooing involves certain risks, both known and unknown, which may result in injury including, but not limited to: infection, scarring, allergic reactions to tattoo pigments, latex gloves and/or soaps, and potential interference with the detection of melanoma or other skin conditions.

• I understand that I will have the opportunity to discuss the procedure and ask questions prior to the tattoo being performed. By proceeding with this appointment, I voluntarily choose to receive a tattoo and freely accept and expressly assume any and all risks that may arise from the tattoo procedure and application.

I WAIVE AND RELEASE to the fullest extent permitted by law any person of the Tattoo 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 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 the Tattoo Studio.

• I acknowledge that I have been provided the opportunity to ask questions regarding the tattoo procedure and application and understand that I may ask additional questions prior to the procedure being performed.

• I acknowledge that aftercare instructions will be provided to me and that proper aftercare is necessary for the healing of my tattoo. I agree to follow the aftercare instructions provided by the studio and artist. I understand that failure to follow aftercare instructions may increase the risk of infection, poor healing, or unsatisfactory results.

• I acknowledge that the Tattoo Studio and the artist have no control over the composition of tattoo pigments once applied and assume no responsibility for any complications that may arise during future medical procedures.

• I acknowledge that if touch-up work is required due to my failure to follow proper aftercare instructions or negligence in caring for the tattoo during the healing process, such work may be performed at my own expense.

• I confirm that I am not currently under the influence of alcohol or drugs and that I am voluntarily choosing to receive a tattoo without duress or coercion.

• I acknowledge that certain medical conditions and medications may affect the tattoo procedure or healing process. I have disclosed any known medical conditions, including but not limited to diabetes, epilepsy, hemophilia, heart conditions, skin conditions, or the use of blood thinning medications.

• I understand that it is my responsibility to inform the artist of any medical conditions, medications, allergies, or skin sensitivities that may affect the tattoo procedure or healing process.

• I understand that activities such as swimming, sun exposure, excessive sweating, or friction during the healing process may negatively affect the healing and final appearance of my tattoo.

I am not pregnant or nursing.

I do not have a mental impairment that may affect my judgement in getting the tattoo.

Variations in color and design may exist between the tattoo 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 can fade due to unprotected exposure to sun. A tattoo is a permanent change to my appearance and can only be removed by laser or surgical means, which can be 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.( if no, please advise your artist). I agree that the Tattoo Studio has a NO REFUND policy on tattoos and/or retail sales and I will not ask for a refund for any reason whatsoever. I agree to reimburse the Tattoo Studio for any attorneys' fees and costs incurred in any legal action I bring against the Tattoo Studio and in which either the Artist of the Tattoo Studio is the prevailing party. I agree that the courts of located in the County of Palm Beach within the State of Florida 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. I acknowledge that I have been given the opportunity to read and understand this document that it was not presented to me at the last minute and grasp that I am signing a legal contract waiving certain rights to recover damages against the Tattoo 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.

-------------- ARTIST USE BELOW THIS LINE----------------

( PLEASE CHOOSE YOUR ARTIST BELOW )