Tattoo Appointment Request
Please fill out all fields
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
What is your age?
What days are you available? Please note I only tattoo Monday through Friday. Select all days that would work for you.
Monday
Tuesday
Wednesday
Thursday
Friday
Is there a specific date you have in mind for this tattoo? I cannot guarantee my availability will align with your date, but we will do our best to accommodate your request.
-
Month
-
Day
Year
Date
What time of the day is best for you? If you can be available anytime, please select both options.
Mornings
Afternoons
Are you requesting a touch up on an existing tattoo?
Yes (If so, please upload a healed photo of your tattoo)
No
Approximately what size would you like your tattoo(s)? Select all that apply.
1 inch or smaller
2-4 inches
5-8 inches
Larger than 8 inches
1/4 sleeve
1/2 sleeve
full sleeve
How many tattoos are you requesting for this appointment?
1
2
3
4
5 or more
Please provide a description of your requested tattoo(s)
What is your preference? (Select any that apply if you’re unsure)
Full color
Pop of color
Linework only (black/grey)
Black and grey shading, no color
Location of tattoos (Please select all that apply. If you are unsure of location please select all of the areas you’re considering)
Fingers/Hand
Wrist
Forearm
Elbow
Upper arm
Shoulder
Neck
Collarbone
Face/Head
Chest
Back
Ribs
Sternum
Stomach
Pelvic Area
Buttocks
Hip
Thigh
Knee (front or back)
Calf/Shin
Ankle
Foot
Toes
Body placement (please upload a photo of the area of your body where you’re wanting the tattoo(s).
Browse Files
Drag and drop files here
Choose a file
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of
Body placement (please upload a photo of the area of your body where you’re wanting the tattoo(s).
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Reference Photo (please upload an actual image and not a link to an image!)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Reference Photo (please upload an actual image and not a link to an image!)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Reference Photo (please upload an actual image and not a link to an image!)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Reference Photo (please upload an actual image and not a link to an image!)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
How did you find me?
Instagram
Facebook
Google
Client Referral
Friend/Family
Other
Have you been tattooed by me before?
Yes
No
Is this your first tattoo?
Yes
No
Thanks for taking the time to fill out a tattoo request! I do my best to take as many appointments as possible, but due to the high volume of tattoo requests I receive, you may be placed on my waitlist if an immediate opening is not available.
I fully understand
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