By signing and submitting this form, I acknowledge that I have been given the opportunity to ask questions with regard to the risks of obtaining a tattoo which have been answered to me to my satisfaction. I acknowledge I am at least eighteen (18) years of age and I have no mental condition. I likewise have no physical condition that might affect my well-being as a result in having a tattoo on my skin. I give my full consent to the application for obtaining a tattoo without influence, coercion, or representation from any person.