Liability form

THE DOLOROSA TATTOO CO.
11930 Ventura Blvd, STUDIO CITY, CA 91604
RELEASE AND CONSENT FOR PERMANENT TATTOOING
PLEASE READ AND BE CERTAIN YOU UNDERSTAND THE IMPLICATIONS OF SIGNING.
PLEASE CHECK EACH PROVISION IN THE BOX PROVIDED AFTER READING TO SHOW THAT YOU UNDERSTAND EACH PROVISION.

Please check any health conditions listed below that apply to you:
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The information I have provided is complete and true to the best of my knowledge.
I HAVE READ THIS AGREEMENT, I UNDERSTAND IT, AND BY SUBMITTING I AGREE TO BE BOUND BY IT.
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Release of Liability Form