Tattoo Application Form
Tattoos By AMIJOK
Name
*
First Name
Last Name
Pronoun preference
*
Please Select
He/Him
She/Her
They/Them
Others
Age
*
Email
*
Confirmation Email
example@example.com
Phone Number
*
Please enter a valid phone number.
I am currently accepting appointments at the following locations.Which location would you prefer?
*
Please Select
Fall Back Down Tattoo in New westminster
Lady Luck Tattoo in Langley
Shimokita ink in Tokyo
Which style of tattoo do you want?
*
Please Select
Japanese traditional style
American traditional style
Japanese×American mix style
Others
If you choose a Japanese traditional style tattoo or mix style, which method would you prefer to use for the project?
Please Select
By Machine(Electric)
By Tebori(No Electric)
Placement of your tattoo
*
ex:Inner left forearm or lower back...etc
Approximate size
*
ex:Full sleeve,full back,5"-7"...etc
Description of your tattoo design idea
*
If you have any questions
SEND
Should be Empty: