Tattoo Request Form

Tattoo Request Form for Lovebuzz Tattoo
Thank you so much for your interest in my work!
I only tattoo those who are 18+, no exceptions.

Please note my minimum is $150.

Only those whose projects have been selected will be contacted via email.

A $180 deposit will be required to secure your appointment and is non-refundable. The deposit will be held until the last session to be used towards the payment of your tattoo.

Please check your junk folder in case my replies get delivered there instead of your inbox.
Name*

First NameLast Name
Date of birth*

MonthDayYear
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Are we working around an existing tattoo/or coverup?*

YesNo
If yes, please upload a picture of the tattoo

Cancelof
Tattoo description*
Tell me about your idea.
Black & Grey or Colour?*

Black & GreyColour
Reference image 1

Cancelof
Reference image 2

Cancelof
Reference image 3

Cancelof
Reference image 4

Cancelof
Additional links to references:
Approximate sizing (height x width) *
(inches x inches)
Placement*
(e.g. inner forearm, thigh, shoulder, etc.)
Placement reference

Cancelof
Health issues/factors (N/A if none) *
(e.g. heart conditions, prone to fainting, etc.)
Allergies (N/A if none)*
(e.g. latex, lidocaine, etc.)
Skin concerns in the area of tattoo (N/A if none)*
(e.g. eczema, scarring, acne, stretch marks, etc.)
Availability (select all applicable)*

TuesdayWednesdayThursdayFridaySaturday
Preferred appointment time (select all applicable)*

Afternoon (12PM-3PM)Evening (3PM-6PM)
Are you from Greater Vancouver? (Lower mainland, BC)*

YesNo
If you checked "no", where are you travelling from?
Have you been tattooed by Joyce before?*

YesNo
How did you hear about me?
Additional comments/questions
Should be Empty:

Tattoo Request Form for Lovebuzz Tattoo