Positive Vibrations Studio

Client Waiver

You can complete this form at any time — before your appointment from home, or on the day when you arrive at the studio. All information is kept private and secure.

✓ Complete at home before your visit✓ Or fill in at the studio on the day⎙ Print blank form

Personal Details

Full Name*

Date of Birth*

Email*

Phone

Appointment Details

Service Type*

Artist / Technician

Appointment Date

Health & Medical

Medical Conditions, Allergies or Medications

I am currently pregnant

I am currently taking blood thinners or anticoagulants

Consent & Agreement

I confirm that I am 18 years of age or older (or have parental/guardian consent) and am voluntarily choosing to receive the requested service.

I understand that tattooing, piercing, and nail services carry certain risks including but not limited to infection, allergic reaction, and scarring. I acknowledge that results may vary.

I confirm that the health information provided above is accurate and I have not withheld any information that may affect my suitability for this service.

I release Positive Vibrations Studio and its artists from any liability arising from complications related to undisclosed medical conditions.

I have read and agree to the consent terms above.

I understand that proper aftercare is my responsibility and I will follow the studio's aftercare instructions.

Digital Signature

Type your full name to sign*

By typing your name above you are providing a legally binding digital signature for this waiver.