I acknowledge that it is not reasonably possible for the representatives and employees of True Tattoo to determine whether I might have an allergic reaction to the application or processes used to carry out this procedure, and agree to accept the risk that such a reaction is possible.
I confirm In the last 48 hours, I have not experienced any vomiting, sickness or any other illness
I confirm that I am not under the influence of drugs or alcohol.
I confirm that I am not pregnant or nursing
To my knowledge, I do not have a physical, mental or medical impairment or disability which might affect my wellbeing as a direct or indirect result of my decision to have this procedure
I acknowledge I am SIXTEEN OR OVER
I consent to the application of the tooth gem, and to any actions or conduct of the representatives or employees of true Tattoo. And what is reasonably necessary to perform the tooth gem procedure.
I agree to release and forever discharge and hold harmless True Tattoo and it’s independent contractors from any and all claims, damages and legal actions arising from or in any way connected to my tooth gem and the procedures and conduct used to apply my tooth gem.
I confirm that all of the information provided to you in the Consent Form is correct to the best of my knowledge and I hereby consent to the TOOTHGEM referred to in this form.
