Tattoo Request Form

Thank you for choosing Electric Street Tattoo!

Let us get to know you, please provide your contact info below:
Your Name

First NameLast Name
Email
example@example.com
Your Number
Text is fine.
Please provide details about the tattoo you want.

Fill out any relevant information we may need for your tattoo. If there are any questions you do not understand or are unsure how to answer, guesses are welcome. Let us know at the end how we can help.
Tattoo Style

Other
Placement of your New Tattoo
Be specific: right forearm, lower left calf, upper center back, etc.
Tattoo Size
Tattoo Description
American Eagle on my chest; Heart with my mother's name; Please explain in detail...
Tattoo References

Browse Files
Want to share a tattoo you saw on Social Media? Please upload here. Cancelof
Is this New Tattoo a cover-up to a current Tattoo or scar?
PLEASE NOTE: If there is a cover-up involved, please provide a well-lit photo of the tattoo or scar that you would like covered including the area around it.
Please provide a photo of the current Tattooed area to be covered:

Browse Files
The artist will need this level of detail to work into their new drawing, this ensures the previous tattoo is completely covered. Cancelof
Let's set up your tattoo appointment.

Please note that all daily bookings are limited in order for our artists to provide their Best-In-Class tattoo service.
Are you a returning client?
During the day, when are you best available?
Your preferred day of the week?
Let us know your thoughts...
For example: Hello, I need a private room for an intimate tattoo area I would like to have done...
How did you find us
Should be Empty:

Thank you for choosing Electric Street Tattoo!

Please provide details about the tattoo you want.

Let's set up your tattoo appointment.