RELEASE FORM

    I FURTHER CERTIFY THAT I AM AN ADULT OVER THE AGE OF 18, OR IF UNDER 18 I WILL HAVE A PARENT OR GUARDIAN PRESENT AND LISTED BELOW. IF I AM A UTERUS BEARING HUMAN, I CERTIFY I AM NOT PREGNANT OR BREASTFEEDING. I AM NOT INTOXICATED, UNDER THE INFLUENCE OF ANY DRUG OR SUBSTANCE, OR MENTAL IMPAIRMENT THAT WOULD IMPLICATE I AM NOT OF SOUND MIND, AND I CERTIFY I AM MAKING THESE STATEMENTS IN FREE WILL. I HAVE BEEN GIVEN THE FULL OPPORTUNITY TO ASK ANY AND ALL QUESTIONS I HAVE ABOUT OBTAINING A TATTOO AND THAT ALL OF MY QUESTIONS HAVE BEEN ANSWERED TO MY FULL SATISFACTION.

    Guardian info for minors under 18

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