Tattoo Request Form

Tattoo Request Form

All tattoo appointments will be set up through this request form. After the form is submitted, you will be contacted regarding setting up an appointment. Please be as thorough as possible when describing your tattoo, placement, size, etc. This will make the appointment set up process easier. All appointments require a deposit before appointments are confirmed.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Preferred method of contact:*

EmailTextInstagram
Instagram:
If you would like to communicate through IG DM.
Artist:*

Jesse/ DAK1NERie
Are you 18 or older?*

YesNo
Tattoo Placement*
Where on your body would you like the tattoo placed? The more specific the better.
Approximate Size (in inches)*
How big of an area did you want to cover?
Is this a cover up?*

YesNo
Is this black & grey or colored ink?*

Black & GreyColor
Tattoo Description*
What sort of imagery did you want for your tattoo? What do you envision? Please be as detailed as possible.
References/ Inspired Imagery

Please upload any imagery you are inspired by or would help give me a better understanding of your vision.
Cancelof
What day(s) work best with your schedule?

MondayWednesdayFridaySaturday
What time(s) work best with your schedule?

10 AM11 AM12 PM1 PM2 PM3 PMOther
Any additional things you would like to let us know? (Allergies, etc.)
Should be Empty: