Appointment Request Form

Tattoo Appointment Request
Full Name*

First NameLast Name
Pronouns*
Birthdate*

MonthYear
E-mail*
What city?

Toronto
What time works best for you? '*

MorningAfternoonEvening
What days work best for you?*

ThursdayFridayOther
Any specific date/time?

MonthDayYearHourMinutesAM/PM Option
Flash or custom?*
Full description. Size, placement etc..*
Flash - screenshot of desired piece

Browse Files

Cancelof
Custom - any reference images

Browse Files

Cancelof
Custom - screenshot pieces I’ve already done that you like

Browse Files

Cancelof
Budget*
Once we've settled on a date and your new tattoo I will require a deposit to confirm your appointment. Please note the deposit comes off the final price of your tattoo, and is non refundable.

Flash - 50$

Custom - 100$

E-transfer to lupotattoos@gmail.com

Thank you!
Should be Empty:

Tattoo Appointment Request