Tattoo Request Form

Tattoo Request Questionnaire
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
Birthdate*

MonthDayYear
Date
Please Describe what you are looking to get done. *
If you have images to help us understand what you are looking to get done please upload here.

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Do you have other tattoos in the area that you are requesting the new tattoo?*
How many people are trying to get this tattoo?*
How soon are you trying to get this tattoo? This date is not a guarantee that we can get you in at this time. Typical wait time for a custom tattoo is about 2-3 weeks. *
What style of tattoo are you looking to get done?*
Where are you looking to get this tattoo done at?*
What size are you wanting this tattoo? Based on inches. Add the length and Hight to get total square inches. Ex) 2 inches by 2 inches is 2+2=4 square inches. *
Do you have an artist Preference?*

What days of the week typically works best for you? Click all that apply to help us get you scheduled ASAP.

Tattoo Request Questionnaire