Tattoo Request Form
Must be 18 Years or older to receive a tattoo in the state of North Carolina. (NO EXCEPTIONS)
All Appointments Require A Deposit.
*All Deposits Will Be Deducted From The Final Cost And Are Non-Refundable. At Least A 48 Hour Notice Is Required To Reschedule. If You Can't Make Your Appointment, Another Deposit Will Be Required.
Instagram @chad.tattoos
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Would you prefer an A.M. or P.M. appointment?
*
A.M.
P.M.
Either
Is this a cover up?
*
Yes
No
Is there any scarring in the area to be tattooed?
*
Yes
No
Please describe in as much detail as possible what the idea is for your tattoo. (Location, Approximate size, Any changes made to reference pictures, Etc...)
*
Please attach a current picture of the area to be tattooed.
*
Reference Pictures
*
Approximate size of Tattoo in Inches?
*
How did you hear about me?
*
I Agree to the Following.
*
To Only Bring One Guest. No Kids.
Submit
Should be Empty: