TATTOO REQUEST FORM

Tattoo Request Form
Preferred Name*

First NameLast Name
Pronouns
Email*
example@example.com
Phone number
Placement*
(forearm, calf, etc. Please be specify right or left.)
Is this a cover-up*

YesNo
Please provide at least one well-lit photo of the part of your body which you want tattooed:
PHOTO OF DESIRED PLACEMENT OR COVER UP

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Tattoo Size*
Please guess size in inches
Description*
Any and all details I need to know
If you are looking to get a specific flash design from my page please include a screenshot of it below. In the event the flash has already been claimed I am always happy to draw a similar yet unique design for you.
REFERENCE 1

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REFERENCE 2

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REFERENCE 3

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REFERENCE 4

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PREFERRED DAYS OF THE WEEK*

TUESDAYWEDNESDAYTHURSDAYFRIDAYSATURDAY
PREFERRED TIME OF DAY*

Early (12pm-3pm)Late (4pm-8pm)Any available time
If you have specific time constraints (ie. work, school, vacations) please include them in your additional info.

Please note: If you are 30 minutes or more late to your appointment with no notice you will be asked to rebook.
PREFERRED BUDGET*
It is okay if you don’t have one just put “none” (Please note: My minimum is $100 and my hourly rate is $150)
I require a $100 non-refundable deposit when booking appointments. This can be paid through Venmo, Zelle or Cash App.

I no longer accept Venmo for full payment at the end of your session. Please bring cash with you or be set up to use Zelle. Thank you!
Location

Virginia Beach, VA @ Hidden Gem VillageMinneapolis Tattoo Festival 2025 (January 10th-12th)Philadelphia Tattoo Festival 2025 (January 24th-26th)Other
HAVE YOU BEEN TATTOOED BY ME BEFORE?

YesNo
ANYTHING ELSE YOU WOULD LIKE TO SHARE…
Thank you so much for your interest in my work!
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Tattoo Request Form