Appointment Request Form

Appointment Request

Please fill out all fields to request an appointment with kirioustattoos
Have I tattooed you before?*

Yes!No, first time!
Are you over the age of 18?*

Yes, I am over 18No, I am a minor
Full Name*

First NameLast Name
Phone*

Area CodePhone Number
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
What days work best for you?*

MondayTuesdayThursdaySaturday
What time works best for you?*

11 am-3 pm3 pm-7 pm
Would you like an in person consultation before your tattoo appointment? *A consultation may be required depending on the request.*

Yes please!No thank you!
Color or black and grey?*

Color!Black and grey!B&G with a little color!
Desired body placement*
Desired size of tattoo. Please be as accurate as possible, get out a ruler or a tape measure if you have to. *
Please give a detailed description of your desired tattoo*
Please attach any reference pictures

Browse Files

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Maximum budget*
*Pricing information: please keep in mind that my minimum is $100 and my hourly rate is $150. Flat pricing is available for half and full day rates!
Preferred payment app (Zelle, Venmo, etc.)*
*Should your request be accepted you will be required to leave a non-refundable deposit to book. Deposit amounts range between $50-$200 and are applied to the end cost of your tattoo.
How did you hear about me?
Thank you for your interest in getting tattooed by me! Requests may take a couple days for me to process but please do not double email or send multiple requests for the same tattoo. I look forward to working with you!

IMPORTANT: Make sure to check your spam folder for a response if you haven't received one in a few days.
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