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Rose Stem Tattoo Policy Agreement
Let us do this part
Today's Date:
Wed Nov 27 2024 06:24
Practitioner:
*
-- Select --
Ashlo
Sandra
Please read and answer
1. Appointment Date & Time
*
2. Design & Placement (ex. Rose on left wrist)
*
3. Acknowledgement of Terms
*
I acknowledge that I have read through Rose Stem Tattoo's policy and understand the terms, as well as any additional fees pertaining (but not limited) to:
Late fees
Design Changes
Breach of code of conduct
4. Once you sign and submit, check your email.
Your email will include info such as:
-Method of payment
-Shop location
-Contact info
Rose Stem Tattoo’s policies are constantly improving. Any provisions prior to or after signing this form are still valid.
If any provision, section, subsection, clause or phrase of this release is found to be unenforceable or invalid, that portion shall be severed from this contract. The remainder of this contract will then be construed as though the unenforceable portion had never been contained in this document.
Client Information
I hereby declare that I am of legal age (with valid proof of age) and am competent to sign this Agreement.
Legal Name:
*
Pronoun:
-select-
He/Him
She/Her
They/Them
He/Them
She/Them
He/She
He/She/They
Chosen name:
Address:
*
Postcode:
*
Date of birth:
*
-Month-
Jan
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-Day-
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-Year-
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You must be 18 or older
Phone #:
*
Email:
*
Signature:
*
Sign above or type signature:
Parent/Legal Guardian
I, as custodial parent or legal guardian of the above minor under -18 years of age, hereby consent to the terms and conditions set forth in this release form and I attest that all documentation I have provided is true and accurate.
Guardian's Legal Name:
*
Signature:
*