Tattoo Booking Form

You must completely fill out this form to book a new appointment with Moxie.

Please allow 7-14 days for response times as there are many forms she goes through. Submitting a form does NOT guarantee an appointment.
Subjects that Moxie likes to tattoo include illustrative, art nouveau, neotraditional, fauna/flora, fandom/anime, fantasy, dark arts/Halloween themed, and lore based designs.

She would love to accommodate everyone, but needs to focus on pieces that advance her artwork and portfolio.
Preferred Name*

First NameLast Name
Preferred Pronouns *
(ie. she/her, he/him, they/them, etc)
Email- Will be used for contact purposes.*
example@example.com
Phone Number- May be used for contact purposes.*
Are we continuing a previous tattoo? Or is this a new tattoo?*

Continuing workNew tattoo; New Client :)New Tattoo; Returning Client ;)
A detailed description of your tattoo idea.*
*If referring to specific characters, please make sure to include what series they are from and any specific details you want included for them if any*
Please attach any reference images here!*

Cancelof
Do you want color, black and grey, or specific colors?*
Where would you like the tattoo placed?*
Please include estimate of size.
Is this a cover-up/ scar cover-up? OR do you have any surrounding tattoos we’re working near?*

YesNo
Is this a cover-up/ scar cover-up? OR do you have any surrounding tattoos we're working near?

If you answered “Yes” above, please submit an image of the tattoo to be covered or area you’d like to work between.
Cancelof
Do you have any allergies? *
(latex, adhesives, any fruits, oils/butters used in lotion)
(For my fandom clients!) If applicable, do you want a tattoo done in cosplay?
(Keep in mind that not all costumes are able to be accommodated. I also reserve the right to decline cosplaying for any reason)
Please select preferred day to be tattooed on. (Keep in mind that some days book faster than others. The more days selected may improve wait time.)*

TuesdayWednesdayFridaySaturday
Please select preferred time for your appointment. (Longer appointments may be split into smaller sessions or booked for full days/6+ hours)*

11:30am3:30pm
Appointments are fixed rates per person. How long would you like to book for?*

Half-Day (3 hours) $450Full Day (6 Hours) $900
Do you understand that there is a non-refundable deposit of $200 that will be applied to the last session of this tattoo?*

Yes
Do you understand that drastic changes of design less than 48 hours of your appointment results in immediate rescheduling and possible forfeit of deposit? (small changes may be made at your appointment)*

Yes
Do you understand that if your form is accepted and appointment is made, that appointment is NON-TRANSFERRABLE to any other person? (Your friend/spouse/child/etc. may not fill your appointment slot in your stead.)*

Yes
Do you understand that no shows and exceedingly late clients forfeit their deposit? (20+ minutes late with no notice is considered exceedingly late.)*

Yes
Sign below to confirm that you filled out this form to the best of your ability!*

Clear
Should be Empty:

You must completely fill out this form to book a new appointment with Moxie.

Subjects that Moxie likes to tattoo include illustrative, art nouveau, neotraditional, fauna/flora, fandom/anime, fantasy, dark arts/Halloween themed, and lore based designs.