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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PREFERRED DAYS OF THE WEEK*

TUESDAYWEDNESDAYTHURSDAYFRIDAYSATURDAYSUNDAY (Conventions only)
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)
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 or Apple Pay. Thank you!
Location

Virginia Beach, VA @ Hidden Gem VillageBrooklyn, NY (waitlist)Asheville, NC Sept 12th - 14thRaleigh, NC Sept 26th - 28thOther
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