Appointment Request Form

Tattoo Booking Form

Please fill out the form below to book with me!
Name*

FirstLast
Pronouns
E-mail*

Confirmation Emailexample@example.com
Phone Number*
Instagram
Where would you like to receive my response?*

EmailTextInstagram
Is this a custom piece or flash?*

CustomFlash
Description*
For customs please add specific details of your tattoo idea, including the size (in inches) and placement. If you’ve chosen something from my flash, attach a screenshot along with size and placement ✩
Reference Photos

Add any reference photos for customs or a screenshot of the flash design you’re interested in!
Cancelof
Do you have a budget?
(Ex: Yes my budget is $250-$400 (or) No I do not have a budget) Please note that I charge a minimum of $150 for the first hour and $100 for every hour after. Appointments usually average between 2-4+ hours. Some flash and custom designs may be quoted a set price if you’re more comfortable with that.
( you can choose multiple options below)
Any specific date?

MonthDayYear
Choose a date
What days work best for you?*

MondayTuesdayWednesdayFridaySaturday
What times work best for you?*

MorningAfternoonEvening
What kind of style do you prefer?*

HandpokedMachineNot sure
Anything to add?
If there’s anything else you think I should know, please tell me here. Ex: This is my first tattoo; I’m traveling from out of state; etc
❦ ❦ ❦

Once I've accepted your tattoo request I will require a non refundable $75 deposit to secure your appointment, this cost will go toward the total cost of your tattoo. Please look out for my response within the next few days, I will try to get back to you as soon as possible!

I look forward to working with you!
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Tattoo Booking Form