TATTOO REQUEST FORM

Tattoo Request

This is a request to be tattooed by Alicia Van Curen
In order to help me streamline the booking process please fill out any relevent information I may need for your appointment below. If there is a question you do not understand or are not sure how to answer, give a best guess and let me know at the end how I can help.
Preferred Name*

First NameLast Name
E-mail*
youremail@example.com
Phone number*
for appointment reminders
Placement*
(forearm, calf, etc. Be specific.)
Is this a cover-up*

YesNo
Photo of placement (stand straight, relaxed, at some distance for perspective of where we will be working)

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If there is a cover-up involved, please take a well-lit photo of the tattoo or scar that you would like covered as well as some area around it. Also please note how old the tattoo/scar is in the description box.
Tattoo Size*
Please guess size in inches (ex. 6"x6")
Style*
traditional, realism, illustrative, linework, etc.
Color or B/G*
Color, black and grey, or blackwork
Description: include what you like or dislike about the references you provided.*
Any and all details I need to know
REFERENCE 1

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REFERENCE 2

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REFERENCE 3

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PREFERRED DAYS OF THE WEEK*

WEDNESDAYTHURSDAYFRIDAYSATURDAYFIRST AVAILABLE
PREFERRED TIME OF DAY*

Early (10am-11am)Afternoon (12pm-2pm)Late (3pm-5pm)
INQUIRIES & ADDITIONAL COMMENTS
HAVE YOU BEEN TATTOOED BY ME BEFORE?

YesNo
Thank you so much for your interest in my work! Please note appointments are extremely limited & I may not be able to accommodate your request for a while but I will try my best. I am currently booking for the Fall/Winter 2024

Projects will be taken on as I have time for them.

A non-refundable $100 deposit is required for all appointments, it will be applied to the price of your tattoo. Deposits are not transferable to another person; your deposit will be forfeited if you reschedule more than once, (except in the case of illness or pregnancy) or if you don't show up to your appointment.

When I get the opportunity for more appointments, I will send you an email that I've accepted your request; I'll make an estimate on how many appointments we need to complete your project based on what you've put on this form.

After I recieve a deposit, we can email about dates/times to begin.

Thank you again,

Alicia
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Tattoo Request