Name * First Name Last Name Preferred Pronouns Email * Phone (###) ### #### Appointment Date * MM DD YYYY Birth Date * MM DD YYYY Divination Arts Policies Sign Your Name Below to Acknowledge Our Studio Policies * SAFE SERVICE STANDARDS: Your artist is licensed and insured to practice the art of tattoo in the state of Washington and is trained in the prevention of bloodborne pathogen transmission. Your artist uses only disposable, one-time use equipment and follows universal precautions. You will be tattooed in a clean and sterile environment. Aftercare instructions will be provided for each client. Please pay attention and follow them as this can greatly affect the healing process and the final quality of the artwork. This tattoo studio is a safe place for all people. We do not discriminate based on anything whatsoever. Hate speech of any kind will not be tolerated at any time whatsoever. ARTISTIC INTEGRITY: All artwork is custom and original. Your artist will not plagiarize other tattoos. Your artist will not replicate their own work (except in the case of matching tattoos) and strives to create new variations of common subject matter like flowers, skulls, etc. Your artist will not give you a drawing of your tattoo prior to your appointment, nor will they electronically send your drawing for viewing prior to your appointment time. Your artist will be honest with you and will let you know if they don't believe they are the right artist for you; or if they feel they can't give you the style of tattoo you're looking for; or if they don’t believe they can fix or cover a specific tattoo. If your artist believes this is the case, they will attempt to direct you to an artist they think would be a better fit. Your artist reserves the right to refuse service to any client or to refuse to do any tattoo at their discretion. Gang related, race related, or offensive tattoos will not be created at this shop. No exceptions will be made. However, if you desire to cover-up any gang related, race related, or offensive artwork, your artist will be glad to help. CONSULTATIONS: Consultations occur over the phone or via video chat on Mondays, and are free of charge. At your consultation, your artist will make a great effort to communicate with you and understand exactly what you want for your artwork. Your artist will set aside enough time to make minor changes to your design at your tattoo appointment if needed and it is therefore rarely necessary for you to see the artwork prior to getting your tattoo. Deposits are taken during the consultation. CHARGES AND PRICING: Accepted forms of payment are Cash, Card, Apple Pay, and Samsung Pay. Gift certificates are available. Please contact your artist if you wish to purchase a gift certificate. Tattoo quotes are given during your consultation or just prior to starting work on your tattoo during your appointment. Price quotes are based on an estimate of the time it will take for your tattoo to be completed and multiple factors may come into play that either increase or decrease the time it takes to complete your tattoo. These factors include last minute changes, inability to sit through the entire appointment or to sit still, and unforeseeable issues. Every effort will be made to complete your tattoo within the quoted time. Your final price will be based on the actual time it takes to complete your tattoo. Deposit: $80/tattoo (Tax included - Non-refundable - Applied to tattoo costs) Tattoo time: $140.00/hr. (Plus 10.3% Tax) Minimum charge: $80 (Tax included) CHANGES AND CANCELLATIONS: Cancellations and changes cannot be made within 72 hours of appointment time. Please contact your artist if extenuating circumstances exist. Your artist will make considerations on a case by case basis. If you are more than 20 minutes late for your appointment, you will be marked as a no-show and your deposit will be lost. Your artist reserves the right to require a larger deposit for an appointment scheduled after a no-show and may refuse future service. If you have a flexible schedule or wish to be tattooed earlier than your current appointment time, please let your artist know. You will be added to a call list and your artist will contact you if a last-minute opening becomes available. SHOP POLICIES: Your artist reserves the right to refuse service for any reason, at any time. It is illegal to tattoo anyone under the age of 18 in Washington state. You must bring government issued identification to your appointment as proof of age. No exceptions will be made for any reason. It is unsafe to tattoo pregnant or nursing women. No women who are pregnant or nursing will be tattooed. If you discover you are pregnant prior to your appointment, please contact your artist as soon as possible. No children or pets are allowed in the shop. TATTOO PREPARATION: Please be prepared to get tattooed so that you can have the best experience possible. This means arriving at your appointment on time, clean, not hungover, and wearing appropriate clothing. Please eat before getting tattooed and be hydrated. Feel free to bring in non-alcoholic beverages and light snacks. Sugary drinks and foods can be very helpful when getting tattooed! First Name Last Name COVID-19 Liability Waiver Sign Your Name Below to Agree to Our COVID-19 Liability Waiver * I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing. I further acknowledge that Divination Arts has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19. I further acknowledge that Divination Arts cannot guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, staff, and other clients and their families. I voluntarily seek services provided by Divination Arts and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending my appointment. I attest that: · I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell. · I have not traveled internationally within the last 14 days. · I have not traveled to a highly impacted area within the United States of America in the last 14 days. · I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19. · I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non-contagious by state or local public health authorities. · I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19. I hereby release and agree to hold Divination Arts harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of Divination Arts, or that may otherwise arise in any way in connection with any services received from Divination Arts. I understand that this release discharges Divination Arts from any liability or claim that I, my heirs, or any personal representatives may have against Divination Arts with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Divination Arts. First Name Last Name Consent to Tattoo Procedure Sign Your Name Below to Consent to Being Tattooed * I acknowledge by signing this agreement that I have been given the full opportunity to ask any and all questions which I might have about the obtaining of a tattoo and that all of my questions have been answered to my full satisfaction. I specifically acknowledge I have been advised of the facts and matters set forth below and I agree as follows: · If I have diabetes, epilepsy, hepatitis, hemophilia, HIV-AIDS or any other communicable disease, heart condition or take medicine which thins the blood I have advised my tattooer. I am not pregnant or nursing. I am not under the influence of alcohol or drugs. · I do not have medical or skin conditions such as but not limited to: acne, scarring (Keloid) eczema, psoriasis, freckles, moles or sunburn in the area to be tattooed that may interfere with said tattoo. · I acknowledge it is not reasonably possible for the representatives and employees of this tattoo shop to determine whether I might have an allergic reaction to the pigments or processes used in my tattoo, and I agree to accept the risk that such a reaction is possible. · I acknowledge that infection is always possible as a result of the obtaining of a tattoo, particularly in the event that I do not take proper care of my tattoo. I have received aftercare instructions and I agree to follow them while my tattoo is healing. I agree that any touch-up work needed, due to my own negligence, may be done at my own expense. · I realize that variations in color and design may exist between any tattoo as selected by me and as ultimately applied to my body. I understand that if my skin color is dark, the colors will not appear as bright as they do on light skin. · I understand that if I have any skin treatments, laser hair removal, plastic surgery or other skin altering procedures, it may result in adverse changes to my tattoo. · I acknowledge that a tattoo is a permanent change to my appearance and that no representations have been made to me as to the ability to later change or remove my tattoo. To my knowledge, I do not have a physical, mental or medical impairment or disability which might affect my well being as a direct or indirect result of my decision to have a tattoo. · I acknowledge I am over the age of eighteen and that I have truthfully represented to my tattooer that the obtaining of a tattoo is by my choice alone. I consent to the application of the tattoo and to any actions or conduct of the representatives and employees of the tattoo shop reasonably necessary to perform the tattoo procedure. · I fully understand THE TATTOO ARTIST DOES NOT ACT AS A MEDICAL PROFESSIONAL. Any suggestions made to me are NOT to be construed as or substituted for advice from a medical professional. First Name Last Name Click Sign Below to Finish Thank you for completing this form!