PHOTO AND VIDEO

release form

Pink Palace

TATTOOS

I,

hereby grants and authorize, PINK PALACE Tattoos the unrestricted right to take, edit, alter, publish, post and make use of all photos, videos and/or audio ("the materials") that have been taken of me. I further grant permission for the materials to be used for any lawful purpose, including but not limited to advertising, promotion, marketing, and packaging, without payment or consideration.

I understand that PINK PALACE Tattoos may modify or edit the materials at their discretion, and I waive any right to inspect or approve the final images or any finished product where these materials may be used.

I acknowledge that I will not receive any financial compensation for the use of these materials, and that all rights, title, and interest in the images belong to PINK PALACE Tattoos. I further release PINK PALACE Tattoos from any claims, demands, or liabilities arising out of or in connection with the use of these materials, including but not limited to any claims for defamation, invasion of privacy, or copyright infringement.

I understand that PINK PALACE Tattoos holds the ownership and copyright to the materials mentioned above and has the exclusive right to reproduce, distribute, display, and create derivative works based on these images. I agree not to reproduce or authorize the reproduction of these images in any form without the express written consent of PINK PALACE Tattoos.

This permission shall continue indefinitely and applies to all languages, media formats, and markets.

I hereby release and hold harmless PINK PALACE Tattoos, and its agents, representatives and employees, from and all claims or actions arising out of, or in connection with the use of the materials.

any

I confirm that I am over the age of 18 and have read and understood the terms of this release form. I also affirm that I have the legal authority to grant the permissions and rights stated herein.

Date:

Pinkpalacetattoos@gmail.com

Client Name (Printed):

Client Signature:

703.832.1602

LIABILITY AND CONSENT

Pink Palace

TATTOOS

I acknowledge and confirm that I have answered the questions on page one of this document truthfully and to the best of my ability.

I acknowledge that I am aware of and understand the risks that are associated with this tattoo procedure, including but not limited to, allergic reactions from the pigmentation or anesthetic cream.

I understand that there is a risk of infection from the procedure, especially if I do not take care of the area as I have been advised by the tattoo artist.

I acknowledge and agree that if I experience any issues following the procedure, including those noted above that I will contact my tattoo artist, but will solely be responsible for the cost of any medical treatment.

I acknowledge and understand that tattooing will result in a permanent change to my appearance, and that no representation has been made to me that I will later be able to remove or alter the results.

I confirm that I do not have any freckles, moles, or a sunburn in the area to be tattooed.

I confirm that I am not being treated or an infection or currently have an infection anywhere on my body.

I acknowledge and confirm that I have received the aftercare instructions from my tattoo artist and will follow them.

I am not currently under the influence of alcohol or recreational drugs.

agree to release and indemnify and forever hold harmless my tattoo artist from any and all claims, damages, and legal actions arising from or connected in any way with my tattoo procedure.

I have seen and agreed to the design, placement, size, colour. I give permission for my tattoo artist to go ahead with the tattoo.

By signing below I acknowledge that I am over eighteen years of age. I confirm that I have had the opportunity to ask questions to my tattoo artist, which have been answered to my satisfaction. I confirm that I fully understand and accept and the provisions of this document, including the risks associated with tattooing, and that I consent to receive the tattoo.

Date

Date

pinkpalacetattoos@gmail.com

Client Name (Printed)

Client Signature

Tattoo Artist Name (Printed)

Tattoo Artist Signature

раде

2

2

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703.832.1602