Name
*
First Name
Last Name
Instagram username
*
How did you find out about Lumi?
*
Social media : Ig, tiktok etc | Friend/Family| Ad | Google
City
What city you are in
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Which location do you prefer?
*
Atelier House - East Vancouver ( Sunday - Wednesday)
Mokosh Beauty - Langley - Guest Artist Pop Up Mondays Monthly - email to inquire what days
Specify exact size of your desired tattoo
Exact width or height in cm or in.
Tattoo Type
*
Simple Tiny Tatt up to 2” zero shading ($130+)
Small tattoo 2” or smaller ($150+)
Medium Tattoo up to 5" ($140 per hour)
Large Floral Tattoo 5” or larger $140 per hour)
Tattoo Touch Up ($50+)
* PROMO* Ephmeral MADE TO FADE Tattoo $120 2x2 or smaller
Placement of tattoo on your body
Description of tattoo
*
Attach your inspiration or reference photos
Upload a File
Drag and drop files here
Choose a file
Cancel
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Are you a returning client?
*
Yes
No, I am a new client
Are you over the age of 18? (Proof of I.D will be required before your appointment, if you are underage, consent from your guardian is required)
*
Yes
No
Do you have any allergies or medical conditions or blood borne pathogens?
Type yes or no, If yes, please specify
Other preferred times/days you're available.
Preferred Appointment Time (This is not guaranteed and will be confirmed thru email first)
Type a question or additional notes if you have any.
I have completed this form
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