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Therefore in consideration of Silent Siren Tattoo of Wayne NJ, allowing me to be tattooed in its place of business and [ Artist ] actually applying the tattoo on my person, thereby release and forever discharge Silent Siren Tattoo of Wayne, NJ and [ Artist ] their heirs, executors, agents and assigns all other persons, corporation entities from any and all liability, claims demands, actions, causes of action of suits of any kind or statute on account of any injuries of any type or kind, both known and unknown to my property or person, which may result from being tattooed, entering or exiting or being on the property owned or leased by Silent Siren of Wayne NJ or connected in any way with the procedures, equipment , ink, dyes, pigments or conduct used in connection with the application of my tattoo or workmanship, spelling of words or name, color scheme, shading and place of my tattoo design. Also I give permission to copyright or publish any photograph of myself with or without signing my name in any manner as deemed proper to their use. I realize that I am an adult over the age of 18 I am not intoxicated or tinder the use of any narcotic substance and make this statement entirely of my own will and sound mind. Please be advised that any blood thinning medications. medical condition, such as diabetes, allergies, acne shall increase the risks associated with the procedures outlined for the proper care and healing of my tattoo. This is a legal binding contract.


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Date: 2/14/2022

Time: 3:54 PM

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I have read this entire consent form and agree to its terms. I have also received my verbal and printed aftercare instructions and understand that infections are always possible.


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