Tattoo request form

Tattoo request form
Thank you so much for your interest in my work! To request a tattoo appointment with me, please fill out the information below.
Preferred Name *

First NameLast Name
Pronouns *
Ex. She/Her, They/Them, He/Him, She/They, etc
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Placement *
Ex. Forearm, Upper arm, thigh, calf, etc.
Tattoo size in inches/centimetres*
Is this a cover-up (scars, birthmark, tattoo, etc)*

YesNo
Please provide a photo of the location you wish to put your tattoo. If there is a cover-up involved, please make sure the photo is well-lit and shows what you are hoping to have covered clearly. *

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Style you are hoping to have this tattoo done in*
I specialize in illustrative black and grey dotwork tattoos
Would you like this tattoo in*

Black and greyBlack and grey with hints of colour
Describe your tattoo idea: *
All details welcome. If requesting a flash piece, please put the title of it here.
If you would like any script in your tattoo, please write it out here, as well as the font you would like from www.dafont.com
Make sure to double check the spelling
Reference 1*

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Reference 2

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Reference 3

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Preferred days of the week*

MondayWednesdayThursdaySunday
What time of day typically works best for you?

10:30-12:3012:30-2:302:30-4:304:30-6:30
Will you be using a sliding scale rate? This is something I offer to BIPOC clients, Trans clients seeking gender affirming tattoos, and scar cover up projects. For more information, please go to the "sliding scale" section of my website. If this does not apply to you, please leave this field blank.
What is your budget range*

200 max200 - 400 max400 - 600 max600 and up (will be discussed further)
Do you have any skin or medical conditions that may affect the tattoo or healing process? If yes, please give further details here
Have you been tattoo’d by me before?*

YesNo
Is this your first tattoo*

YesNo
By checking this box you are confirming you are 18 or older*

Yes
Thank you so much! Please allow up to 2 weeks for a response. Bookings are limited at the moment in order to allow myself and my shop to operate as safely as possible. I hope to tattoo you soon!
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