Client Application & Waiver Form

Clients must fill out and sign the following Client Application & Waiver Form for services at Labyrinth Tattoos, Permanent Cosmetics, and VI Laser. Please Complete All Fields

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YOU MUST AGREE TO AND CHECK EACH OF THE FOLLOWING

IMPORTANT NOTES 

#1.  A minimum set up fee will be charged for all sessions under one hour, otherwise    an hourly rate will be apply. 

#2.  If you receive any art work either in person or via E-mail, your deposit is non-refundable.  

#3.  Deposits are valid for six (6) months from receipt.

#4.  Gift Certificates are non-refundable.

#5.  One touch up in the first year of your tattoo is included, given the proper aftercare has been applied.

#6.  Due to the nature of our skin and our lives, any work done on the hands, feet, and the back of the neck may require more frequent touch ups; touch ups will not be free.

#7.  Touch ups must be done with the original artist. If you choose to see a different artist, an hourly fee will be charged.

#8.  Deposits will be held and taken off the final payment of the tattoo. This ensures that a deposit is left for any consecutive appointments. (A max. of $50, or $100 for a cover-up, will be held if deposit is greater)

#9.  48 hour notice is required to postpone or cancel an appointment, otherwise you will lose your deposit.

Select the services you are interested in today:

Please let us know your Preferred Artist:

Please supply colour details if relevant:

You can upload up to 5 images of your personal favourite designs:

YOU MUST NOTE AND AGREE TO THE FOLLOWING
COVID SAFETY MEASURES

• I do not have Covid-19 or been in direct contact with anyone diagnosed, suspected of, exhibiting signs or self- isolating for having COVID-19. IE: Fever, coughing, shortness of breath, muscle aches, sneezing, sore throat, headache or recent loss of taste and smell.   I have not travelled outside of British Columbia, to the United States or Internationally in the past 14 days or been around anyone else who has travelled within these areas.  I also do not have a known heart condition, epilepsy or hepatitis. I am not a hemophiliac, or on any blood thinning medications. I do not have diabetes, AIDS, HIV,  or any immune deficient condition. I am not pregnant or nursing presently.
   

• I acknowledge the contagious nature of the Coronavirus/COVID-19 and that of Vancouver Island Health Authority along with the CDC and many other public health authorities still recommend practicing social distancing.
   

• I further acknowledge that Labyrinth Tattoo and VI Laser has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.
   

• I further acknowledge that Labyrinth Tattoos, Permanent Cosmetics, and VI Laser cannot guarantee that I will not become infected with the Coronavirus / Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus / COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, tattoo shop staff, and other tattoo shop clients and their families.
   

• I voluntarily seek services provided by Labyrinth Tattoos, Permanent Cosmetics, and VI Laser and acknowledge that I am increasing my risk to exposure to the Coronavirus / COVID-19. I acknowledge that I must comply with all set procedures and protocols to reduce the spread while attending my appointment.
   

• I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.
   

• I have not traveled to a highly impacted area within the United States of America or Internationally in the last 14 days.
   

• I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.
   

• I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious by provincial or local public health authorities.
   

• I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.

I HEREBY CERTIFY THAT THE ABOVE INFORMATION I HAVE PROVIDED IS TRUE AND FACTUAL AND TO THE BEST OF MY KNOWLEDGE. THE ABOVE INFORMATION IS FOR CLINICAL RECORDS ONLY AND THIS OR ANY INFORMATION OBTAINED IS KEPT UNDER STRICT CONFIDENTIALLY.

Please note that it may some time for the form to submit, particularly if you are uploading files. You will see a 'Thanks for submitting!' message under the Submit button when the submission is complete:

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