TATTOO SUBMISSION FORM

Fine line Tattoo Request Form
Thanks for your interest in my work!! Please ensure that you are reading through this form carefully and have read it all before submitting so that you are aware of my process and how to prepare yourself for your appointment. Should you be selected, my email response to this submission form will only include your appointment date and time, and answers to the questions you may list below.

Thank you!

- Samantha @ Blush & Brow

BOOKS ARE CURRENTLY CLOSED

They will reopen this summer for fall appointments
Name*

First NameLast Name
DOB*
EMAIL*
example@example.com
PHONE NUMBER*
PLACEMENT*
(Ribs, arms, legs, etc.)
PLEASE INCLUDE A PHOTO OF THE AREA YOU WOULD LIKE TO GET TATTOOED.
Body location

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TATTOO SIZE*
PLEASE LET ME KNOW YOUR INTENDED SIZE IN INCHES
DESCRIPTION*
PLESE DESCRIBE YOUR TATTOO IDEA IN DETAIL
IF THERE ARE ANY IMPORTANT DETAILS YOU WOULD LIKE ME TO FOCUS ON THAT WILL ASSIST IN THE DESIGN PROCESS, PLEASE LET ME KNOW BELOW.
ADDITIONAL DETAILS
OPTIONAL
STYLE*

Linework/Minimalist styleScriptLine work w/detail
REFERENCE 1*

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REFERENCE 2

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REFERENCE 3

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PREFERRED DAYS OF THE WEEK*

MONDAYTUESDAYTHURSDAYFRIDAY
PREFERRED TIME OF DAY*

MorningEarly afternoon
PREFFERED DATE 1*

MonthDayYear
Date
PREFFERED DATE 2*

MonthDayYear
Date
PREFFERED DATE 3*

MonthDayYear
Date
I am currently booked several months in advance.

If you have something else you'd like for me to know that is not covered by the form, please let me know here.
INQUIRIES & ADDITIONAL COMMENTS
WILL YOU BE TRAVELING FOR THIS APPOINTMENT

YESNO
HAVE YOU BEEN TATTOOED BY ME BEFORE?

YESNO
HOW DID YOU HEAR ABOUT ME?
Thank you so much for your submission! I will try my best to get back to you immediately, but please allow me up to two weeks to respond! Keep an eye on your inbox. I ask that you please understand I am not able to take on every submission and can only book so many people in each month, so only if you are selected, you will hear back from me.
INSTAGRAM
FOR CORESPONDING
NAME

FIRSTLAST
Should be Empty:

Fine line Tattoo Request Form