Information Request Form

BIPOC Provider Sign up

BIPOC artists sign up for to be paid providers for cover-up and corrections for Survivors or Sex Trafficking, Incarceration, Gang Violence, and those in recovery for Substance use.
Name

First NameLast Name
E-mail
example@example.com
Instagram Handle
@Instagramhandle
What Size tattoos are you open to doing?
How many tattoos are you open to doing of this size
What are you standard rates per piece or hour? We use this to calculate your invoice.
I am comfortable tattooing
I am comfortable
Please speak to any specialities you have/ offer:
I certify that I am licensed to tattoo in Oregon
Should be Empty:

BIPOC Provider Sign up