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Appointment Request Form
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16
Questions
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1
Full Name
*
This field is required.
First Name
Last Name
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2
Phone number
*
This field is required.
Will only be used in cases where emailing isn’t practical or I need to get a hold of you quickly!
Area Code
Phone Number
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3
E-mail
*
This field is required.
This will be where we will do all communications for scheduling the appointment!
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4
If you have been tattooed by me, what was the last tattoo I did for you? If not, how did you hear of me?
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5
What is your tattoo idea?
*
This field is required.
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6
Where do you want this tattoo on your body?
*
This field is required.
NOTE: Regenerative skin tattoos, such as tattoos on the inside of the finger, side of the palm/hand, etc., aren't recommended due to the nature of regenerative skin which cause those types of tattoos to fade within a short time frame and require many touch ups!
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7
Is this tattoo going to be a cover up?
*
This field is required.
NOTE: Please, understand, options are limited for cover ups! The older/lighter the tattoo, the more options available for your cover up!
Yes, this is a cover up
No, this is not a cover up
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8
Is this a matching tattoo?
*
This field is required.
NOTE: Please, understand, options are limited for cover ups! The older/lighter the tattoo, the more options available for your cover up!
Yes: For two people
Yes, for three people
Yes, for more than three people
No, this is not a matching tattoo
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9
How big do you want this tattoo (in inches)?
*
This field is required.
Larger tattoos, such as sleeves, back pieces, etc., are broken into sessions and are subject to my $200 hourly rate.
1-2 inches
3-5 inches
6 or more inches
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10
What type of tattoo we talking about?
*
This field is required.
NOTE: Be aware that I am not a portrait/realism tattooer! I suggest you find an artist that does black and grey/portrait tattooing to get the best black and grey/portrait tattoo possible!
Full color tattoo
Black and grey tattoo
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11
Which days would work best for you?
*
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NOTE: I am off on Sundays and Mondays!
Tuesday
Wednesday
Thursday
Friday
Saturday
All of the above
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12
What time would work best for you?
*
This field is required.
Shop business hours are 11AM-6PM, so you will scheduled within those hours!
11AM
2PM
All of the above!
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13
What’s your budget for the tattoo?
*
This field is required.
$100-$200
$200-$300
$400-$500
$500+
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14
Are you local to Bakersfield?
If not, where you from?
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15
I am at least 18 years of age with valid identification!
*
This field is required.
NOTE: Under no circumstances do I tattoo minors. No exceptions! Parental consent does not exist for tattoos!
Yes, I am at least 18 years old
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16
I understand that a non-refundable $100 deposit will be required immediately to secure an appointment!
*
This field is required.
Deposit will go towards the final price of the tattoo!
Yes, I understand
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