Tattoo Request
Please fill the information out below and Clare will be in touch! Thank you!
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Not required, I may phone if needed to discuss further.
Format: (000) 000-0000.
Placement & Size
*
(forearm, calf, etc. BE SPECIFIC.)
Is this a coverup?
*
Yes
No
Style of tattoo
*
Floral, line work, realism, traditional, dot work etc.
Color, Black & grey or just linework?
*
Color, black and grey, mix
Description
*
PREFERRED DAYS OF THE WEEK
*
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
INQUIRIES & ADDITIONAL COMMENTS
Any health issues? Were you referred to us? If so by whom? Please feel free to mention any special situation type info. We strive to provide the most comfortable experience.
Have you been tattooed by me before?
Yes
No
Back
Next
Submit
Should be Empty: