New Customer Registration Form

New Client Registration Form

3126 Dundas St. W | (416) 604-8771 | ig: @glassbirdtattoo
Full Name*

First NameLast Name
Phone Number*
E-mail*
example@example.com
Artist *
Please be aware that some artists will have their books closed and won't be accepting new clients for the time being.
Date of Birth*

MonthDayYear
We do not tattoo anyone under the age of 18 unless there is a parental/guardian consent and a parent/guardian present during the entire session.
Tattoo Design idea*
Photo references that best describes the direction and style you’re going for*

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Tattoo Placement IDEA*
Placement of the tattoo on YOUR BODY (if you have surrounding tattoos around the placement area attach a well-lit photo of the area with the existing tattoos)

(style reference, placement photo references, image reference, etc)
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Tattoo size in inches*
If this is a cover up/fix up, please attach photos of the current state of your tattoo in good lighting

(style reference, placement photo references, image reference, etc)
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General Days of the week you are available

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Thank you for your inquiry our team will be in contact with you in 2-4 business days! Please be sure to check your junk folder as well.
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New Client Registration Form