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Release and consent form

Release and consent form

In consideration of receiving a tattoo at New Amsterdam Tattoo Studio, I agree that I have read and understand that I am bound by the following:

The Artist and the Tattoo Studio will give me instructions on the care of my tattoo while it’s healing and I will follow these instructions given to me. I will ask if there is an instruction I do not fully understand.

I am aware of the potential risks from tattooing; blood poisoning (septicemia), localized swelling and trauma around the tattooing area, localized infection, line blowouts, potential scarring and allergic reactions.

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

I have informed the tattooist if I have any of the following conditions: covid-19/corona, diabetes, epilepsy, hemophilia, a heart condition, HIV infection, Hepatitis A, B & C or any other medical or skin condition that may interfere with the application or healing of the tattoo. If I take blood thinning medication. Or if I am pregnant.

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

Neither the Artist nor New Amsterdam Tattoo Studio is responsible for the meaning or spelling of the symbol or text that I have provided to them or chosen from the flash (design) sheets. I also agree that I am solely responsible for approving the design, it’s placement and size anywhere on my body, the artist merely advices me on the proper application of the design I chose to have as a tattoo.

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. The Artist and/or New Amsterdam Tattoo Studio are not responsible for any financial compensation should I decide to restore my skin after the tattoo session.

I release all rights to any photographs taken of me and the tattoo and give consent in advance to their reproduction in print or electronic form.

I acknowledge that I have been given adequate opportunity to read and understand this document, that it was not presented to me at the last minute, and I understand that I am signing a legal contract waiving certain rights to recover against the artist and New Amsterdam Tattoo Studio. I also confirm that the tattoo studio may keep this consent form in its file.

Full name *

Date of birth *

Phone number *

Email *

Date *

Signature *

TO BE FILLED OUT BY TATTOO ARTIST

I confirm that the tattooing is performed under hygienic conditions with suitable sterile instruments and safe techniques and according to EN 17169 or according to national requirements.

I do not administer any form of anesthetic for this treatment.

I confirm that a copy of this signed consent form has been provided to the client and that the client has been advised to retain the information.

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Address

NEW AMSTERDAM TATTOO STUDIO
Aalsmeerweg 8
1059 AJ Amsterdam
The Netherlands
+31(0)20 773 1067

Info

Monday till Friday (10.00 – 17.00)
Saturday (10.00 – 17.00)
Sunday CLOSED.

We do walk ins (first come, first tatooed) but it’s always better to make an appointment if you want the guarantee of an available spot…

Copyright

All images on this site are copyrighted by the artists, none can be used for any purpose whatsoever without written permission from New Amsterdam Tattoo Studio and the artist. Thank you for your cooperation and support.

Vrijwarings- & toestemming formulier

Release and consent form

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