Tattoo Request Form
Thank you for your interest in requesting a Tattoo service done by me! Please fill out this form and I will contact you via text within 24-72 hours to schedule a consultation! *Must be 18 years old to get tattooed in North Carolina, No exceptions!
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Type of service
*
Please Select
Tattoo
Brows
Lip Blushing
Please give a detailed description of what you are looking to get and approximately how big you would like the tattoo to be.
*
Please let me know where on your body you'd like the tattoo placed (for example: inner forearm, outer arm, ribcage, ankle, etc.).
*
Please list all medical and/or skin conditions (eczema, psoriasis, heart conditions, autoimmune, etc.)*
*
Are you pregnant or nursing?
*
Please upload reference / inspo photos here.
*
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Are you over the age of 18?
*
Submit
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