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Tattoo Request Form
Requesting a tattoo does not guarantee an appointment. Please do not send a deposit until the appointment is confirmed.
Remember to be as detailed as possible so I have a better understanding of what you’re looking to get tattooed.
Preferred Name (Optional)
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Preferred Pronouns
Age
*
Location (City, State)
*
Description of desired tattoo(s). Please be as specific as possible.
*
Style
*
Color
Black&Gray
Artist's Choice
Budget (Please select which option best fits your request.)
*
Minimum (<1hour): $150
Half day(3hr): $600
Full day(6hr): $1200
Whatever it takes to accomplish my design!
Upload reference photos for your desired tattoo, or a picture of the flash design you are claiming.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload clear reference photos of the desired area for placement.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Written confirmation of tattoo placement
*
Size of tattoo
*
In inches or best guess.
Is this your first tattoo?
*
Yes
No
Choose one of the following:
*
Returning Client
New Client
I am interested in numbing cream.
*
Yes
No
Upload a clear image of your valid ID. Please do not continue filling out your request if you are a minor under the age of 18.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Is there any additional information you would like me to know?
I understand that upon acceptance of this design submission I will need to come into Rebel Collective Tattoo for a formal in person consult.
*
I understand that a cash deposit is required to book my tattoo appointment and is due during the tattoo consultation. A deposit is 25% of entire quoted tattoo price and is applied to all appointments needed to finish desired piece.
*
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