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.
What city are you travelling from?*
Tattoo Design idea*
Example: Two roses with a snake curling around them
Photo references that best describes the direction and style of the design idea*

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Tattoo Placement*
Please specify: left, right, front, back, top, bottom, etc
Please attach a well-lit, high quality photo of the placement area on your body (if you have surrounding tattoos around the area, include those in the photo as well)

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Approximate size in inches*
2 x 2 inches , 6 x 6 inches, 8 x 3 inches etc
If this is a cover up/fix up, please attach photos of the current state of your tattoo in a well-lit setting

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General Days of the week you are available

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Additional questions or notes:
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.
Should be Empty:

New Client Registration Form