Consultation Form

Name*

First NameLast Name

Preferred Name (if different from legal name)

First NameLast Name

Preferred Pronouns

Phone Number*

Please enter a valid phone number.

Email*

What is your Instagram?

Example : @_________

Are you over 18? We will be checking ID prior to appointment and only tattoo over 18 years old. *

Are you prone to having scars last on your skin a long time, or bruising?*

Do you have any allergies? Or sensitivities to soaps, solutions, latex, etc?*

Are you on any medication that has to do with skin, heart, blood, immune system, or healing? Do you have any conditions I should be aware of?*

Are you pregnant or breastfeeding, or expect to be by the time of your appointment? *

Is this your first tattoo?*

Have I tattooed you before?*

Is this tattoo a cover-up, or a re-work/add on of an existing tattoo?*

What area of the body are you thinking of getting this tattoo? What size (in inches) are you thinking? Right or left side?*

All this info helps me design better!

Do you have a budget in mind, or an amount that you would like me to keep the tattoo under?*

This helps me determine how big your piece can be, how much detail we can put in it, and puts us both on the same page!

Please give me a brief summary of what you are wanting to get done! Be as descriptive as possible, and include all details you can think of! Are you thinking black and grey, or colour? What type of style are you thinking? *

Example, instead of saying “flowers”, let me know if they are roses, peony’s, etc!