Appointment Request Form
Please be as thorough as possible!
Full Name
*
First Name
Last Name
Are you over 18 years old? In Texas, I cannot tattoo anyone under the age of 18 - even with parental consent.
*
Yes
No, but I am scheduling this for on or after my 18th birthday
Contact Number
*
Please enter a valid phone number.
Email Address
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Description of desired tattoo(s):
*
If your tattoo consists of writing or numbers, please select a font off of dafont.com. The “handwritten” tab has cute ones for words. For numbers, you may find what you’re looking for under the “basic” tab. Be sure to utilize the “preview” box. This is where you’ll write the name of the font you have selected. Make sure to put who the font is by.
example: Bohemian Fashion by Timur Type
Placement:
*
example: ankle
Estimated size:
*
example: 2 inches tall, 1 inch wide
Please attach any reference photos you have!
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What day(s) of the week are you available? My hours are 10:30am-4pm every day besides Mondays (closed) and Thursdays (closed)
*
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