Super Easy to fill out & gives me all the info needed to start a file for you!
FAST RESPONSE TIME (same day)
Tattoo Consultation
With Selene Doan
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Are you age 18 or over?
*
Yes, I am
I only tattoo those who are 18+ And will require photo ID at time of appointment ?
*
Yes, I will provide ID at appointment
Back
Next
Tattoo Consultation
Part 2 - Health Information
Please read carefully. Check all boxes that apply to you.
*
Bruise easily
Scar/keloid scars
Allergic skin - body products/soaps etc
Pregnant/Breastfeeding
NONE OF THE ABOVE
I do need to be aware of certain health conditions and medications.
*
Diabetic
Eczema/psoriasis
Blood thinner
Acutane
NONE OF THE ABOVE/ no health conditions
Other
Back
Next
Tattoo Consultation
Part 3- Art Information
Is this your first tattoo?
*
Is this tattoo a rework or coverup?
*
What area of the body do you want this tattoo/approximate size (in inches)?
*
Colour or black/grey?
*
Please give a description of what you want tattooed, subject matter, details, any information is helpful.
Ex- if you want flowers tell me if it’s roses or peonies etc
Where did you hear about me/ How did you find me?
*
My Instagram
Facebook
Refferal -give their name below :)
Other
I respond FAST within 24 hours! Please keep an eye on your spam or junk mail as sometimes my reply ends up there.
*
Ok, I'll watch for that
Once I have reviewed your information I will email you back to set up a consultation.
Thank you for submitting a request!
Submit
Should be Empty: