Mike Dietrich - Tattoo appointment request
  • Tattoo appointment request

    Hello there, please take your time and go through and fill out this form to the best of your abilities. I will be using most of this to get us through a lot of the initial questions and such to be able to help you best with your design.
  • **Important notice**

    I am no longer offering piercings services. And have no formal recommendations. Sorry for any inconvenience.
  • I am currently located at 245 market street Kittanning. With no other places of operation. Deposits are required to schedule.

  • This is not booking your appointment and it’s just an application to get scheduled, do you understand?*
  • I am currently located at 245 market street Kittanning. With no other places of operation. Deposits are required to schedule.
  • Are you 18+*
  • Format: (000) 000-0000.
  • Have you been tattooed here before?*
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Would you prefer to have this is color, black and gray, or a bit of both*
  • Is this a cover-up?*
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Budget for design*
  • Your preferred day of the week for an appointment*
  • Preferred time to start your appointment*
  • If you have any specific dates or times you’re requesting, please post them here
     - -
  • If you have any reference photos feel free to upload them below here

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Please note, this form does not book an appointment. We will be contacting you back through email and if it's a design I can do for you, we will go ahead with our deposit and scheduling for an appointment.
    Thank you

  • Should be Empty: