Tattoo Booking Request

Booking Request

*Please read through disclaimers and my COVID-19 guidelines before submitting a request*
This form is for people interested in getting tattoo work by me!

Thank you for your support!

🕊 My chair welcomes any & all bodies, regardless of race, gender, sexuality, ability, etc. I will not and cannot safely tattoo: Pregnant/nursing individuals, minors (under the age of 18), or clients without valid government-issued photo identification in compliance with Oregon law.

🕊 This form is only a request to book an appointment, I reserve the right to decline any request as stated in my disclaimers. Until I have reached out to you to confirm an appointment's date/time, your design, placement for your tattoo, and I receive a deposit: You are subject to a request decline and/or cancellation.
Legal Name*

First NameLast NamePronouns
Preferred Name*

First NameLast Name
E-mail*
Use a valid email address you check often
Instagram
Incase I can't reach you through email or you want to be tagged in a posted piece
Description of your idea or flash piece!*
Please don't hesitate on giving as much info as possible!
Desired placement
We may discuss changing placement, always have a 'backup'
Aproximate size *
I may consult you if a flash piece has minimum size
Reference imagery

Upload Files
Upload your reference pictures and/or photos of my work that have desired imagery or style Cancelof
Is there any scarring, moles, bumps, or acne in the area you wish to be tattooed?*

YesNoI am not sure
Do you have ANY preexisting health conditions that may or may not affect the tattoo?*

YesNoI am not sure
If you selected "Yes" or you are unsure; Please describe conditions, and any medications that I should be aware of!
*Please understand this is a completely private form, and it is vital if any conditions require extra care or caution
Vaccination Date
*Please enter the date you received your 2nd COVID-19 vaccine (Pfizer or Moderna) or your 1st Johnson & Johnson vaccine. And any updated boosters!*
COVID-19 Vaccination Card *

Browse Files

Cancelof
Budget*
What budget do you have for this design?

Final question! Have you been tattooed before?

This is my first tattooI have a few 'small' tattoosI have multiple tattoos that vary in sizeI am heavily tattooed and we will need to work around pieces.
Any questions for me?
If you want to know anything else that is not in this form, my disclaimers or COVID-19 guidelines.
Please verify that you are somewhat-human (robots can't get tattoos)*
Should be Empty:

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11:00am
12:00pm
1:00pm
2:00pm
3:00pm
4:00pm

Booking Request

AVAILABILITY