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Martin Clark Bridge
Covid 19 Concerns
Contact & Location
Please read and Agree to the following before Making your deposit
Covid 19 Waiver
I hereby state that, to my knowledge, I have not been exposed to COVID-19 in the last 14 days, and am not contagious.
I have not experienced any of the symptoms typical of COVID-19 such as cough, fever, or other flu like symptoms.
I have discussed with my artist the results of any COVID-19 Testing that I have undergone.
I will abide by COVID-19 related mandatory regulations set out by the Commonwealth of Massachusetts.
I agree to have my temperature taken at the time of my appointment, and will reschedule if the temperature reading is over 100°F.
I understand that due to COVID-19 there will only be one artist and one client allowed the tattooing space. Any person who accompanies me will wait in designated areas.
I understand that a face mask will be worn at all times by both client and artist during the tattoo.
I agree to wash my hands upon arrival and after breaks.
Tattoo Consent, Release and Waiver of All Claims
By submitting this form, I specifically acknowledge that I have been advised of the conditions set forth and agree as follows (check all below):
CHECK ALL BOXES
I understand that a tattoo is created by injecting ink into the dermis (skin) using pre-sterilized single use needles, puncturing the skin at a high cycle rate.
I acknowledge that I am not pregnant
I am not under the influence of alcohol or drugs and voluntarily agree to be tattooed by the artist.
I acknowledge that it is not reasonably possible for the representatives of Charon Arts to determine whether I may have an allergic reaction to the inks, ointments, and adhesives, and I agree to accept the risk that such a reaction is possible.
I acknowledge that an infection is a possible result from obtaining a tattoo if I do not properly care for the tattoo. I also understand that some of the complications arising from a tattoo can include bruising, scarring, bleeding, skin or blood infection, allergic reaction to inks, and nerve and tissue damage.
I acknowledge that this tattoo is not a perfect copy of the given image. I am aware of the tattoo artists abilities and have seen their portfolios and accept their chosen style.
I acknowledge that I’ve been given the opportunity to ask all questions necessary about the tattoo design and process and they have been answered to my satisfaction.
I acknowledge receipt of written aftercare instructions advising me as to the proper care of my tattoo, and I recognize the necessity of following those instructions.
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, and also understand that if attempts are made to remove such tattoo, that the tattoo may not be completely removed and that scarring may occur.
I acknowledge that obtaining that tattoo is my choice alone, and I consent to the application of this tattoo and any actions or conduct of the representatives of Charon Arts reasonably necessary to perform the tattooing procedure.
I agree to release and forever discharge and hold harmless Charon Arts and its agents, officers, and employees from any and all claims, damages, or legal actions arising from or connected in any way to my tattoo or procedures and conduct used to apply my tattoo.
I acknowledge that I have read the entirety of this form provided by Charon Arts.
I have been made aware of the Medical Conditions with regard to this work:
Mitral valve prolapse and other heart valve abnormalities- Persons with these conditions might be advised to receive antibiotics by the client’s health care provider prior to receiving a tattoo.
Herpes- Persons with a history of herpes are at increased risk of a recurrence of herpes in that area. Antiviral medication taken before and after the procedure can reduce the likelihood of a recurrence.
Allergies to latex- Persons with allergies to latex can react gloves. Allergic reactions vary in severity, but can be severe and life-threatening.
Allergies to antibiotics- Persons with allergies to antibiotics can react to antibiotic ointment applied to the skin. Allergic reactions vary in severity, but can be severe and life-threatening.
Diabetes- Persons with diabetes, especially those who must take insulin, impaired healing. They should be cleared by a physician before having the procedure.
Hemophilia, other bleeding disorders, and use of anticoagulant medications- Persons with these conditions can bleed excessively during and after the procedure.
Medications- Blood thinners (Coumadin, Warfarin, and aspirin) affect bleeding.
Autoimmune disorders- Persons with these disorders might have impaired healing. They should be cleared by a physician before receiving a tattoo
Pregnancy- Trauma to the fetus can occur during tattooing
I acknowledge by submitting this document that I have been given full opportunity to ask any and all questions that I may have about obtaining a tattoo from Charon Arts, and all of my questions have been answered to my full satisfaction.
Agree and Pay