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A FEW REMINDERS BEFORE BOOKING

  • Burnt Hearts is not responsible for the misspelling of any words, quotes, and/or dates! This is solely the clients responsibility and we will not be held responsible.

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  • ALL DEPOSITS ARE NON REFUNDABLE

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  • TATTOO DESIGNS WILL NOT BE SENT OUT BEFORE THE APPOINTMENT (NO ACCEPTION)

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  • MUST BE 18+ TO BOOK WITHOUT PARENTAL CONSENT (PARENT MUST BE PRESENT FOR ENTIRE PROCEDURE IF YOUR YOUNGER THAN 18

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  • Don't book if your plan on being drunk, pregnant, belligerent, and/or sick the day of your appointment.

Birthday
Month
Day
Year
Procedure to be performed;
Tattoo
Are you currently or have you ever used medications that contain a controlled substance?
Yes
No
Single choic Have you ever been diagnosed by a medical doctor as to having contracted communicable disease such as Human Immunodeficiency Virus (HIV), Hepatitis B Virus (HBV) and/or other blood borne pathogens? If so, when?
Yes
No
Have you ever been diagnosed by a medical doctor as having allergies?
Yes
No
Have you recently been diagnosed by a medical doctor as to having a disease that could affect the healing process, including diabetes?
Yes
No
Are you currently under the influence of any illegal substances?
Yes
No
Are you currently under the influence of an alcoholic beverage?
Yes
No
Have you been diagnosed with jaundice within the past twelve months?
Yes
No
Are you currently using any medications that contain blood thinners?
Yes
No
Are you currently using any medications that weaken the immune system that fights infections?
Yes
No

Copies of client's identification is mandatory by the state and will be disposed of after 2 years.

Thank your for trusting your designated artist with the peice that you will soon have. Relax and get ready for an EVERLASTING IMPRESSION

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