Flash Tattoo Request
This form is for requesting flash tattoos only. Please see Custom Tattoo Request form to inquire about custom designs.
Personal Information
Full Name
*
First Name
Last Name
Pronouns
*
Birthday
*
-
Month
-
Day
Year
Date
E-mail
*
Phone
-
Area Code
Phone Number
Instagram @
Are you vaccinated against COVID-19
*
yes
no
Have you been outside Ontario in the past 2 weeks?
*
Yes
No
Are you experiencing any of the following symptoms?
*
Fever
Cough
Runny nose and sneezing
Sore throat
Loss of taste or smell
Shortness of breath
Nausea and vomiting
Upset stomach
None :)
Are you currently taking any acne medication, blood thinners, or anti-biotics?
*
Acne medication
Anti-biotics
Blood thinner
None
Have you taken medication for acne, such as Accutane, within the past year?
*
Yes
No
If you answered yes to either of the last two questions, what is the name of the medication?
Some medications affect the body's ability to safely heal a tattoo. This is so I can assure whether or not a tattoo is safe for you at this time.
Tattoo Information
Is this your first tattoo?
*
Yes
No
Is this your first hand poked tattoo?
*
Yes
No
Please attach a picture of the flash design(s) you are requesting
*
Browse Files
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of
Approximate size
*
Desired placement for tattoo(s). If requesting multiple designs, please be specific as to where you want each tattoo
*
Example: Upper arm, neck, ankle. Please note I do not tattoo feet or palms.
Do you have a budget/price range in mind?
*
No
Yes
Approximate price range (if applicable)
What days work best for you?
*
Tuesday
Wednesday
Thursday
Saturday
Sunday
What time works best for you?
*
12pm
1pm
2pm
No preference
I understand that there is a $20 non-refundable deposit per each flash tattoo design
*
Yes
Any questions?
Any special requests?
Anything else you think I should know?
Submit
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