Appointment Request Form

Full Name *

First Name Last Name

Preferred pronouns

She/her They/them He/him

E-mail *

Phone *

Area Code Phone Number

Instagram

Your tattoo may be featured on my page, type your @ here if you’d like me to tag you!

Location *

Occult Tattoo, Worthing (Friday - Sunday) The Circle, London (Monday - Wednesday)

Your project idea *

Please provide a concise description of your project idea. Be sure to let me know if you intend it to cover an existing tattoo or a scar so I can make sure that it’s within my ability to do so. If you would like to book for one of my ‘wanna-do’ designs, you can submit a screenshot of the design in the ‘reference’ section below.

Tattoo placement *

Example: forearm, upper outer arm etc... if you would like to work around existing tattoos, you can submit images of the area you would like tattooed in the ‘reference’ section below.

Dimensions of your design *

Please use cm’s or inches. These are necessary to determine how long to book your appointment for and estimate the cost of your tattoo.

Your budget *

This will be the maximum cost of your tattoo for the first session. Depending on size your tattoo may take multiple sessions. It is also possible to split your appointment into multiple, financially manageable sessions.

Reference

Browse Files

If you have any reference images that you feel will help better explain your project idea, a screenshot of a ‘wanna-do’ design, or images of the area you would like tattooed, you can submit them here. Please note that I do not copy designs or imitate the styles of other artists, but I am happy to rework things in my style and recreate old paintings & book illustrations providing whomever made them either gave you their permission or are too dead to care.

What days work best for you? *

Monday Tuesday Wednesday Thursday Friday Saturday

What time works best for you?

Morning Afternoon

Any specific date/time?

Day Month Year Hour Minutes AM/PM Option

Deposit *

I understand that a deposit of £100 is required in order to secure all bookings. This is payable via PayPal once my date is confirmed. I also understand that I will need to give 48hrs notice in order to transfer my deposit to another date should I need to reschedule.

Age of consent *

I am 18yrs of age or above and understand that failure to provide a valid passport or drivers licence on the day of my appointment will result in the cancellation of said appointment and the loss of my deposit.

Please let me know if there’s anything I can do to make your experience more comfortable.

I want to create safe space for everyone who gets tattooed by me; I believe that tattoos should be accessible to everyone and will tattoo any body type, skin colour or texture (providing it is safe to do so) and welcome folx of all races, genders, orientations, religions and abilities. Whether you need privacy or extra care, have a place that you’re not comfortable with being touched, have a disability or illness or you’re simply nervous, I aim to make sure that your experience is the best that it can possibly be. Evening/out of hours appointments can be scheduled if necessary. Don’t worry, you are not obliged to share any sensitive information with me, but at the same time I understand that tattoos can sometimes be very personal so all I ask that you please provide a content warning should you consider it applicable. I will not disclose this information to anyone.

Would you like to be notified when my diary opens, or about promotional offers and guest spots? If so tick yes! Please note that I do not rent or sell your information to any third parties! *

Yes No

* Please be advised that face masks are now mandatory in tattoo studios and you will not be permitted to enter the studio without one. For the time being, chaperones will not be permitted on site in order to limit the number of people in the space. Please bring as little as possible with you to prevent cross-contamination (e.g. just your phone, wallet, keys, headphones, and something to drink) - there will be time for you to find something to eat during your break.

We thank you for your patience and your support during this time.