I certify that I am over the age of 18 yrs and have valid identification for verification.(Required)

I certify that I am not under the influence of alcohol or drugs of any kind.*(Required)

I acknowledge that tattoo inks, dyes, and pigments are not approved by the FDA and that the potential health consequences are unknown.(Required)

I acknowledgment that body art is permanent.(Required)

I certify to the best of my knowledge that I am not suffering from any mental or physical condition that could affect the well being of myself, the workers of Aces Over Eights Tattoo or other clients of Aces Over Eights Tattoo.(Required)

I release the artists and workers of Aces Over Eights Tattoo of all responsibilities that can be related directly or indirectly to my lying on this form and being tattooed. I accept all responsibility and consequences of having a tattoo, good or bad. I agree to release Aces Over Eights Tattoo and any of its artists or workers of any liability in connection with any and all damages, claims, demands, rights, and causes of action of whatever nature based upon injuries, or property damage, or death.(Required)