Consultation Form
Preferred Name
*
First Name
Last Name
Email
*
Phone number
*
Do you have an appointment scheduled ?
Yes
No
Have you been tattooed by me before ?
Yes
No
Is this a cover-up ?
*
Yes
No
If this is a coverup , please attach a photo of the old tattoo or scar below
Placement
*
Tattoo Size
*
Approximate size in inches
Style
*
Neotradtional , Fine line , black work etc
Description
*
Color or Black & Grey
*
Please provide at least one reference photo
Reference Photo
*
Reference Photo
Reference Photo
Preferred date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
I can not guarantee I will be available *
ADDITIONAL COMMENTS
Submit Form
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