Tattoo Request

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number* This field is required.Will be used to create booking and for text only communications

Not required, I may phone if needed to discuss further.

4

Placement* This field is required.

(forearm, calf, etc. BE SPECIFIC.)

5

Is this a coverup?* This field is required.

Yes

No

6

Placement Location Please submit a photograph of the area you want to place the tattoo. Must be clear and taken in good lighting. Blurry images will be rejected.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

7

Tattoo Size * This field is required.Please measure the area you want the tattoo to be placed in and determine exactly what size in inches you want the tattoo to be. Width/length and Height.

(HxW in inches) Please measure and be as accurate as possible. Major discrepancies in size at time of appointment will result in cancellation.

8

Style* This field is required.

Floral, line work, dot work etc.

9

Description* This field is required.

10

If you would like script in your tattoo, please find a font on www.dafont.com, list it below, and what the exact wording will be, or ask for a custom script design.

Please note, any script in another language, I am unable to redesign or translate seeing as I can only read and write in English. Please make sure if it’s in another language the spelling and script is correct.

11

Reference 1

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

12

Reference 2

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

13

Reference 3

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

14

PREFERRED DAYS OF THE WEEK* This field is required.I am only open Mon, Wed, Thurs (in Chilliwack). If you need a different day outside of these, please note which day and I will try to accomodate an alternative day outside of regular hours.

Monday

WEDNESDAY

THURSDAY

Other

15

PREFERRED TIME OF DAY* This field is required.I am only open Mon, Wed, Thurs (in Chilliwack). If you need a different time outside of these, please note on the following card which day and I will try to accomodate an alternative day outside of regular hours.

Early (9am-12pm)

Afternoon (12:00pm-3:00pm)

Late (3:00pm-6:00pm, Mon/Wed)

FULL DAY (9:00am-6:00pm)

Other

16

If you are looking for a specific date, please list below those dates, so I can try to accommodate you.

17

INQUIRIES & ADDITIONAL COMMENTS

18

Have you been tattooed by me before?

Yes

No

19

Are you inquiring for a price quote only?

Yes

No