{"id":11035,"date":"2020-05-26T21:09:41","date_gmt":"2020-05-26T19:09:41","guid":{"rendered":"https:\/\/ladysaratattoo.it\/consenso-informato\/"},"modified":"2022-08-12T14:09:06","modified_gmt":"2022-08-12T12:09:06","slug":"informed-consent","status":"publish","type":"page","link":"https:\/\/www.ladysaratattoo.it\/en\/informed-consent\/","title":{"rendered":"Informed consent"},"content":{"rendered":"<p>[vc_row disable_background_image=&#8221;&#8221;][vc_column]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f11030-o1\" lang=\"it-IT\" dir=\"ltr\" data-wpcf7-id=\"11030\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/11035#wpcf7-f11030-o1\" method=\"post\" class=\"wpcf7-form init wpcf7-acceptance-as-validation\" aria-label=\"Modulo di contatto\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"11030\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.3\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"it_IT\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f11030-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:11030,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;-1&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;-1&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Altro&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:&quot;200&quot;,&quot;animation_outtime&quot;:&quot;200&quot;,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:&quot;&quot;,&quot;wpcf7cf_settings_saved&quot;:&quot;1&quot;,&quot;notice_dismissed_update-cf7-5.6.1&quot;:true,&quot;notice_dismissed_update-cf7-6.1.3&quot;:true}}\" \/><input type=\"hidden\" name=\"redirect_nonce\" value=\"52d32d4416\" \/><input type=\"hidden\" name=\"wpcf7cfpdf_hidden_name\" value=\"consenso-informato-EN\" \/><input type=\"hidden\" name=\"wpcf7cfpdf_hidden_reference\" value=\"92a4e9db\" \/><input type=\"hidden\" name=\"wpcf7cfpdf_hidden_date\" value=\"26Agosto2026\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<link rel=\"stylesheet\" href=\"https:\/\/www.ladysaratattoo.it\/wp-content\/plugins\/pdf-forms-for-contact-form-7\/css\/frontend.css\" \/><script type=\"text\/javascript\" src=\"https:\/\/www.ladysaratattoo.it\/wp-content\/plugins\/pdf-forms-for-contact-form-7\/js\/frontend.js?ver=2.2.5\"><\/script><p>Name(*)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nome\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nome\" \/><\/span>\n<\/p>\n<p>Surname(*)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cognome\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"cognome\" \/><\/span>\n<\/p>\n<p>Sex:(*)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"sesso\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"sesso\" value=\"M\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">M<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"sesso\" value=\"F\" \/><span class=\"wpcf7-list-item-label\">F<\/span><\/span><\/span><\/span>\n<\/p>\n<p>City of birth(*)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"natoa\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"natoa\" \/><\/span>\n<\/p>\n<p>Date of birth:(*)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"data-di-nascita\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"data-di-nascita\" \/><\/span>\n<\/p>\n<p>Resident in City(*)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"residente\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"residente\" \/><\/span>\n<\/p>\n<p>Street:(*)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"indirizzo\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"indirizzo\" \/><\/span>\n<\/p>\n<p>ZIP Code(*)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cap\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"cap\" \/><\/span>\n<\/p>\n<p>Country: (*)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"country\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"country\"><option value=\"\">&#8212;Seleziona un&#039;opzione&#8212;<\/option><option value=\"Afghanistan\">Afghanistan<\/option><option value=\"Albania\">Albania<\/option><option value=\"Algeria\">Algeria<\/option><option value=\"Andorra\">Andorra<\/option><option value=\"Angola\">Angola<\/option><option value=\"Antigua and Barbuda\">Antigua and Barbuda<\/option><option value=\"Argentina\">Argentina<\/option><option value=\"Armenia\">Armenia<\/option><option value=\"Australia\">Australia<\/option><option value=\"Austria\">Austria<\/option><option value=\"Azerbaijan\">Azerbaijan<\/option><option value=\"Bahamas\">Bahamas<\/option><option value=\"Bahrain\">Bahrain<\/option><option value=\"Bangladesh\">Bangladesh<\/option><option value=\"Barbados\">Barbados<\/option><option value=\"Belarus\">Belarus<\/option><option value=\"Belgium\">Belgium<\/option><option value=\"Belize\">Belize<\/option><option value=\"Benin\">Benin<\/option><option value=\"Bhutan\">Bhutan<\/option><option value=\"Bolivia\">Bolivia<\/option><option value=\"Bosnia and Herzegovina\">Bosnia and Herzegovina<\/option><option value=\"Botswana\">Botswana<\/option><option value=\"Brazil\">Brazil<\/option><option value=\"Brunei\">Brunei<\/option><option value=\"Bulgaria\">Bulgaria<\/option><option value=\"Burkina Faso\">Burkina Faso<\/option><option value=\"Burundi\">Burundi<\/option><option value=\"C\u00f4te d&#039;Ivoire\">C\u00f4te d&#039;Ivoire<\/option><option value=\"Cabo Verde\">Cabo Verde<\/option><option value=\"Cambodia\">Cambodia<\/option><option value=\"Cameroon\">Cameroon<\/option><option value=\"Canada\">Canada<\/option><option value=\"Central African Republic\">Central African Republic<\/option><option value=\"Chad\">Chad<\/option><option value=\"Chile\">Chile<\/option><option value=\"China\">China<\/option><option value=\"Colombia\">Colombia<\/option><option value=\"Comoros\">Comoros<\/option><option value=\"Congo (Congo-Brazzaville)\">Congo (Congo-Brazzaville)<\/option><option value=\"Costa Rica\">Costa Rica<\/option><option value=\"Croatia\">Croatia<\/option><option value=\"Cuba\">Cuba<\/option><option value=\"Cyprus\">Cyprus<\/option><option value=\"Czechia (Czech Republic)\">Czechia (Czech Republic)<\/option><option value=\"Democratic Republic of the Congo\">Democratic Republic of the Congo<\/option><option value=\"Denmark\">Denmark<\/option><option value=\"Djibouti\">Djibouti<\/option><option value=\"Dominica\">Dominica<\/option><option value=\"Dominican Republic\">Dominican Republic<\/option><option value=\"Ecuador\">Ecuador<\/option><option value=\"Egypt\">Egypt<\/option><option value=\"El Salvador\">El Salvador<\/option><option value=\"Equatorial Guinea\">Equatorial Guinea<\/option><option value=\"Eritrea\">Eritrea<\/option><option value=\"Estonia\">Estonia<\/option><option value=\"Eswatini (fmr. &quot;Swaziland&quot;)\">Eswatini (fmr. &quot;Swaziland&quot;)<\/option><option value=\"Ethiopia\">Ethiopia<\/option><option value=\"Fiji\">Fiji<\/option><option value=\"Finland\">Finland<\/option><option value=\"France\">France<\/option><option value=\"Gabon\">Gabon<\/option><option value=\"Gambia\">Gambia<\/option><option value=\"Georgia\">Georgia<\/option><option value=\"Germany\">Germany<\/option><option value=\"Ghana\">Ghana<\/option><option value=\"Greece\">Greece<\/option><option value=\"Grenada\">Grenada<\/option><option value=\"Guatemala\">Guatemala<\/option><option value=\"Guinea\">Guinea<\/option><option value=\"Guinea-Bissau\">Guinea-Bissau<\/option><option value=\"Guyana\">Guyana<\/option><option value=\"Haiti\">Haiti<\/option><option value=\"Holy See\">Holy See<\/option><option value=\"Honduras\">Honduras<\/option><option value=\"Hungary\">Hungary<\/option><option value=\"Iceland\">Iceland<\/option><option value=\"India\">India<\/option><option value=\"Indonesia\">Indonesia<\/option><option value=\"Iran\">Iran<\/option><option value=\"Iraq\">Iraq<\/option><option value=\"Ireland\">Ireland<\/option><option value=\"Israel\">Israel<\/option><option value=\"Italy\">Italy<\/option><option value=\"Jamaica\">Jamaica<\/option><option value=\"Japan\">Japan<\/option><option value=\"Jordan\">Jordan<\/option><option value=\"Kazakhstan\">Kazakhstan<\/option><option value=\"Kenya\">Kenya<\/option><option value=\"Kiribati\">Kiribati<\/option><option value=\"Kuwait\">Kuwait<\/option><option value=\"Kyrgyzstan\">Kyrgyzstan<\/option><option value=\"Laos\">Laos<\/option><option value=\"Latvia\">Latvia<\/option><option value=\"Lebanon\">Lebanon<\/option><option value=\"Lesotho\">Lesotho<\/option><option value=\"Liberia\">Liberia<\/option><option value=\"Libya\">Libya<\/option><option value=\"Liechtenstein\">Liechtenstein<\/option><option value=\"Lithuania\">Lithuania<\/option><option value=\"Luxembourg\">Luxembourg<\/option><option value=\"Madagascar\">Madagascar<\/option><option value=\"Malawi\">Malawi<\/option><option value=\"Malaysia\">Malaysia<\/option><option value=\"Maldives\">Maldives<\/option><option value=\"Mali\">Mali<\/option><option value=\"Malta\">Malta<\/option><option value=\"Marshall Islands\">Marshall Islands<\/option><option value=\"Mauritania\">Mauritania<\/option><option value=\"Mauritius\">Mauritius<\/option><option value=\"Mexico\">Mexico<\/option><option value=\"Micronesia\">Micronesia<\/option><option value=\"Moldova\">Moldova<\/option><option value=\"Monaco\">Monaco<\/option><option value=\"Mongolia\">Mongolia<\/option><option value=\"Montenegro\">Montenegro<\/option><option value=\"Morocco\">Morocco<\/option><option value=\"Mozambique\">Mozambique<\/option><option value=\"Myanmar (formerly Burma)\">Myanmar (formerly Burma)<\/option><option value=\"Namibia\">Namibia<\/option><option value=\"Nauru\">Nauru<\/option><option value=\"Nepal\">Nepal<\/option><option value=\"Netherlands\">Netherlands<\/option><option value=\"New Zealand\">New Zealand<\/option><option value=\"Nicaragua\">Nicaragua<\/option><option value=\"Niger\">Niger<\/option><option value=\"Nigeria\">Nigeria<\/option><option value=\"North Korea\">North Korea<\/option><option value=\"North Macedonia\">North Macedonia<\/option><option value=\"Norway\">Norway<\/option><option value=\"Oman\">Oman<\/option><option value=\"Pakistan\">Pakistan<\/option><option value=\"Palau\">Palau<\/option><option value=\"Palestine State\">Palestine State<\/option><option value=\"Panama\">Panama<\/option><option value=\"Papua New Guinea\">Papua New Guinea<\/option><option value=\"Paraguay\">Paraguay<\/option><option value=\"Peru\">Peru<\/option><option value=\"Philippines\">Philippines<\/option><option value=\"Poland\">Poland<\/option><option value=\"Portugal\">Portugal<\/option><option value=\"Qatar\">Qatar<\/option><option value=\"Romania\">Romania<\/option><option value=\"Russia\">Russia<\/option><option value=\"Rwanda\">Rwanda<\/option><option value=\"Saint Kitts and Nevis\">Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\">Saint Lucia<\/option><option value=\"Saint Vincent and the Grenadines\">Saint Vincent and the Grenadines<\/option><option value=\"Samoa\">Samoa<\/option><option value=\"San Marino\">San Marino<\/option><option value=\"Sao Tome and Principe\">Sao Tome and Principe<\/option><option value=\"Saudi Arabia\">Saudi Arabia<\/option><option value=\"Senegal\">Senegal<\/option><option value=\"Serbia\">Serbia<\/option><option value=\"Seychelles\">Seychelles<\/option><option value=\"Sierra Leone\">Sierra Leone<\/option><option value=\"Singapore\">Singapore<\/option><option value=\"Slovakia\">Slovakia<\/option><option value=\"Slovenia\">Slovenia<\/option><option value=\"Solomon Islands\">Solomon Islands<\/option><option value=\"Somalia\">Somalia<\/option><option value=\"South Africa\">South Africa<\/option><option value=\"South Korea\">South Korea<\/option><option value=\"South Sudan\">South Sudan<\/option><option value=\"Spain\">Spain<\/option><option value=\"Sri Lanka\">Sri Lanka<\/option><option value=\"Sudan\">Sudan<\/option><option value=\"Suriname\">Suriname<\/option><option value=\"Sweden\">Sweden<\/option><option value=\"Switzerland\">Switzerland<\/option><option value=\"Syria\">Syria<\/option><option value=\"Tajikistan\">Tajikistan<\/option><option value=\"Tanzania\">Tanzania<\/option><option value=\"Thailand\">Thailand<\/option><option value=\"Timor-Leste\">Timor-Leste<\/option><option value=\"Togo\">Togo<\/option><option value=\"Tonga\">Tonga<\/option><option value=\"Trinidad and Tobago\">Trinidad and Tobago<\/option><option value=\"Tunisia\">Tunisia<\/option><option value=\"Turkey\">Turkey<\/option><option value=\"Turkmenistan\">Turkmenistan<\/option><option value=\"Tuvalu\">Tuvalu<\/option><option value=\"Uganda\">Uganda<\/option><option value=\"Ukraine\">Ukraine<\/option><option value=\"United Arab Emirates\">United Arab Emirates<\/option><option value=\"United Kingdom\">United Kingdom<\/option><option value=\"United States of America\">United States of America<\/option><option value=\"Uruguay\">Uruguay<\/option><option value=\"Uzbekistan\">Uzbekistan<\/option><option value=\"Vanuatu\">Vanuatu<\/option><option value=\"Venezuela\">Venezuela<\/option><option value=\"Vietnam\">Vietnam<\/option><option value=\"Yemen\">Yemen<\/option><option value=\"Zambia\">Zambia<\/option><option value=\"Zimbabwe\">Zimbabwe<\/option><\/select><\/span>\n<\/p>\n<p>Phone Number:(*)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"telefono\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"telefono\" \/><\/span>\n<\/p>\n<p>E-mail(*)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n<\/p>\n<p>Job:(*)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"job\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"job\" \/><\/span>\n<\/p>\n<p>Identity document number:(*)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"numdoc\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"numdoc\" \/><\/span>\n<\/p>\n<h3>I DECLARE, ON MY OWN RESPONSIBILITY\n<\/h3>\n<ul>\n\t<li>\n\t\t<p>Tattooing consist of introducing into the skin various kinds of permanent pigments, through sterile and disposable tools.\n\t\t<\/p>\n\t<\/li>\n\t<li>\n\t\t<p>To remove a tattoo is necessary to resort to small or medium - scale surgery.\n\t\t<\/p>\n\t<\/li>\n\t<li>\n\t\t<p>The operator is obliged to comply with the health and hygiene standards prescribed by Law, but sever infections, like Hepatits B and C or HIV can still be transmitted by tattoing or piercing.\n\t\t<\/p>\n\t<\/li>\n\t<li>\n\t\t<p>You may be or may become allergic to metal.\n\t\t<\/p>\n\t<\/li>\n\t<li>\n\t\t<p>A skin exposed to an ongoing inflammation can't be tattooed or pierced.\n\t\t<\/p>\n\t<\/li>\n\t<li>\n\t\t<p>Tattoos and body piercings are to be considered permanent skin lesions; it is, therefore, important to carefully treat them with basic sanitary regulations as the ones peoples holds in the case of wounds excoriations, to prevent consecutive complications as inflammation or local infections.\n\t\t<\/p>\n\t<\/li>\n\t<li>\n\t\t<p>Tattoos can unfit military standards for those wishing to pursue such a career.\n\t\t<\/p>\n\t<\/li>\n\t<li>\n\t\t<p>Blood donations are forbidden within the following 4 months.\n\t\t<\/p>\n\t<\/li>\n<\/ul>\n<p><label class=\"displaynone\">Date(*)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"data_oggi\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text displaynone\" id=\"oggi\" readonly=\"readonly\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"data_oggi\" \/><\/span><\/label>\n<\/p>\n<h3>:FORM:\n<\/h3>\n<p>For a prorper executions of the tattoo piercing it is necessary that hte operator is informed of the client's health status, with the sole purpose to verify the existence, or not, of possible contraindications.<br \/>\nThe following information will be safe and not accessible to any other.<br \/>\nSo please check the boxes below and eventually tick the one that might correspond to your case.\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"malattie\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"malattie[]\" value=\"Hepatitis\" \/><span class=\"wpcf7-list-item-label\">Hepatitis<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"malattie[]\" value=\"Hiv\" \/><span class=\"wpcf7-list-item-label\">Hiv<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"malattie[]\" value=\"Coagulation disorders\" \/><span class=\"wpcf7-list-item-label\">Coagulation disorders<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"malattie[]\" value=\"Diabetes\" \/><span class=\"wpcf7-list-item-label\">Diabetes<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"malattie[]\" value=\"Recent cortisone consumption\" \/><span class=\"wpcf7-list-item-label\">Recent cortisone consumption<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"malattie[]\" value=\"Immunodeficiency\" \/><span class=\"wpcf7-list-item-label\">Immunodeficiency<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"malattie[]\" value=\"Anti-platelet\/anticoagulants disorders or drugs assumptions\" \/><span class=\"wpcf7-list-item-label\">Anti-platelet\/anticoagulants disorders or drugs assumptions<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"malattie[]\" value=\"Cardiac disorders\" \/><span class=\"wpcf7-list-item-label\">Cardiac disorders<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"malattie[]\" value=\"Angioma\" \/><span class=\"wpcf7-list-item-label\">Angioma<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"malattie[]\" value=\"Pregnancies\/breast-feeding\" \/><span class=\"wpcf7-list-item-label\">Pregnancies\/breast-feeding<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"malattie[]\" value=\"Recent alcohol and\/or drugs assumption\" \/><span class=\"wpcf7-list-item-label\">Recent alcohol and\/or drugs assumption<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"malattie[]\" value=\"Allergies to any substance inside pigments or metals\" \/><span class=\"wpcf7-list-item-label\">Allergies to any substance inside pigments or metals<\/span><\/span><\/span><\/span>\n<\/p>\n<p>Any other ongoing disease or disorders:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"altremalattie\"><input size=\"40\" maxlength=\"160\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"altremalattie\" \/><\/span>\n<\/p>\n<p>Others skin disease as:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"altremalattiepelle\"><input size=\"40\" maxlength=\"160\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"altremalattiepelle\" \/><\/span>\n<\/p>\n<p>Is it the first tattoo\/piercing?(*)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"primotattoo\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"primotattoo\" value=\"Yes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"primotattoo\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n<\/p>\n<p>Is this your first tattoo with Sara?(*)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"primotattoosara\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"primotattoosara\" value=\"Yes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"primotattoosara\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n<\/p>\n<p>Did you make any other recent (within 6 months) tattoo or piercing by another operator?(*)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"altritattoo\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"altritattoo\" value=\"Yes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"altritattoo\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n<\/p>\n<p>How did you find out about me?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"come\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"come[]\" value=\"Instagram\" \/><span class=\"wpcf7-list-item-label\">Instagram<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"come[]\" value=\"Facebook\" \/><span class=\"wpcf7-list-item-label\">Facebook<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"come[]\" value=\"Passaparola\" \/><span class=\"wpcf7-list-item-label\">Passaparola<\/span><\/span><span class=\"wpcf7-list-item last has-free-text\"><input type=\"checkbox\" name=\"come[]\" value=\"Other\" \/><span class=\"wpcf7-list-item-label\">Other<\/span> <input type=\"text\" name=\"_wpcf7_free_text_come\" class=\"wpcf7-free-text\" \/><\/span><\/span><\/span>\n<\/p>\n<h3>:SIDE EFFECTS:\n<\/h3>\n<ul>\n\t<li>\n\t\t<p>The tattoo may come not identical to the one designed as it is, in any case, the result of a free-hand technique.\n\t\t<\/p>\n\t<\/li>\n\t<li>\n\t\t<p>It might be necessary to repeat part of the treatment after 3-4 weeks as the area tattooed may be resistant to retain colors, therefore, the work could be partially fading or missing.\n\t\t<\/p>\n\t<\/li>\n\t<li>\n\t\t<p>Swelling and redness of the treated area, for a few hours after the treatment, always occurs as normal side effects. Burning or tingling are destined to be reabsorbed and will disappear spontaneusly. The extent and duration of these phenomena can vary from subject to subject.\n\t\t<\/p>\n\t<\/li>\n<\/ul>\n<h4><u>THE UNDERSIGNED DECLARES, THEREFORE:<\/u>\n<\/h4>\n<p>to be have been informed in details of any risks related to tattooing or piercing, the precautions to be taken following the practice; to have recived written information, have reported any contraindication to this practice and have understood all the information provided. So:\n<\/p>\n<h4><u>I CONSENT TO THE EXECUTION OF THE TATTOO\/PIERCING<\/u>\n<\/h4>\n<p>Having as subject:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"disegno\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"disegno\" \/><\/span>\n<\/p>\n<p>to be realized in this body part:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"corpo\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"corpo\" \/><\/span>\n<\/p>\n<p>That you will do with the operator SARA LIVERANI\n<\/p>\n<p><small><br \/>\n<b>Privacy:<\/b><br \/>\nI consent to the processing of the personal data pursuant to art.23 of 196\/2003 as well as in compliance with current European legislation (GDPR - Reg. U.E 2016\/679), for the aforementioned purposes. I also declare that I took vision of the notice on the purposes and methods of processing sensitive data in accordance with art. 13 of the same Law. According to art. 10 and 320 of the Civil Code, and art. 96 and 97 of the Law 22.4.1941 no 633, on copyright, I authorize the free of charge publishing and \/ or distribution with no time limits and in any form of photos \/ images which partially or fully represent my person on the web, social networks, as well as in print and \/or any other means for the sole purposes of advertising and promotion. I expressly authorize the conservation of photo \/ images as file in the operator's computer. I also consent to the use of photographs or images that partially or fully represent me before, during and after athe execution, for the purpose of professional documentation or as evidence, in case of any legal disputes.<br \/>\n<\/small>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-405\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-405\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">I accept the privacy conditions. (*)<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<div class=\"eltdf-grid-row eltdf-grid-tiny-gutter clearfix\">\n\t<div class=\"eltdf-grid-col-6\">\n\t\t<p>Signature<br \/>\n<div class=\"wpcf7-form-control-signature-global-wrap\" data-field-id=\"firma\">\n\t\t\t\t<div class=\"wpcf7-form-control-signature-wrap\" style=\"width:300px;height:200px;\">\n\t\t\t\t\t<div class=\"wpcf7-form-control-signature-body\">\n\t\t\t\t\t\t<canvas id=\"wpcf7_firma_signature\" class=\"firma\"><\/canvas>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"wpcf7-form-control-clear-wrap\">\n\t\t\t\t\t<input id=\"wpcf7_firma_clear\" type=\"button\" value=\"Clear\"\/>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<span class=\"wpcf7-form-control-wrap wpcf7-form-control-signature-input-wrap firma\">\n\t\t\t\t<input aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"hidden\" name=\"firma\" id=\"wpcf7_input_firma\"\/><input type=\"hidden\" name=\"firma-attachment\" id=\"wpcf7_input_firma_attachment\"\/><input type=\"hidden\" name=\"firma-inline\" id=\"wpcf7_input_firma_inline\"\/>\n\t\t\t<\/span>\n\t\t\t\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"eltdf-grid-col-6\">\n\t\t<p>Parent signature (in case of minor)<br \/>\n<div class=\"wpcf7-form-control-signature-global-wrap\" data-field-id=\"firmagen\">\n\t\t\t\t<div class=\"wpcf7-form-control-signature-wrap\" style=\"width:300px;height:200px;\">\n\t\t\t\t\t<div class=\"wpcf7-form-control-signature-body\">\n\t\t\t\t\t\t<canvas id=\"wpcf7_firmagen_signature\" class=\"firmagen\"><\/canvas>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"wpcf7-form-control-clear-wrap\">\n\t\t\t\t\t<input id=\"wpcf7_firmagen_clear\" type=\"button\" value=\"Clear\"\/>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<span class=\"wpcf7-form-control-wrap wpcf7-form-control-signature-input-wrap firmagen\">\n\t\t\t\t<input aria-invalid=\"false\" value=\"\" type=\"hidden\" name=\"firmagen\" id=\"wpcf7_input_firmagen\"\/><input type=\"hidden\" name=\"firmagen-attachment\" id=\"wpcf7_input_firmagen_attachment\"\/><input type=\"hidden\" name=\"firmagen-inline\" id=\"wpcf7_input_firmagen_inline\"\/>\n\t\t\t<\/span>\n\t\t\t\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"SUBMIT\" \/>\n<\/p><input type='hidden' class='wpcf7-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/vc_column][\/vc_row][vc_row 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