I hereby declare that, before the procedure (tattooing) was carried out,
I was informed and instructed by an employee of the tattoo and piercing
studio BLACK HOUSE TATTOO s.r.o., with its registered office at Na
Folimance 2155/21, 120 00 Prague 2, Company ID: 04385322, file no. in the
Commercial Register: C 246801 kept by the Municipal Court in Prague
(hereinafter the "studio"), about the nature and manner of performing the
procedure, the possible complications caused by it, as well as other
matters relating to the procedure. I declare that the tattooist
sufficiently explained to me the necessary aftercare for the tattoo, as
set out among other places in Part 5 of this document, and also answered
all my questions sufficiently.
I declare that, on the basis of my conversation with the tattooist and the
instruction given by them, I have fully understood the risks of the
planned procedure and consent to it being carried out despite the
interference with my bodily integrity. I declare that I was informed by
the tattooist that health complications and/or undesirable consequences
may arise during or after the procedure, and that, in view of my consent
and the instruction given, neither the tattooist nor the studio is liable
for them.