Submit A Request with Loryn - Tattoo Body Art
Please fill out the provided questions appropriately, and allow up to 2-5 business days for a response.
Legal Name
*
First Name
Last Name
Preferred Name
Please specify pronouns if you would like as well.
Date of Birth
*
-
Month
-
Day
Year
Date
Email
*
This is required for communication purposes.
Phone Number
While this is not required, it is helpful for immediate response if needed.
Placement of Tattoo
*
Examples: Forearm (Inside or Outside/Left or Right), Elbow, Neck (Left or Right), Knee (Around, Above, Below), Etc. Please be Specific!
Tattoo Size
*
Examples: CM or Inches, Size of hand, Entire Arm, Sleeve, Half Sleeve
Color or Black and Grey
*
If this is a Cover Up or Re-work, please include the age of the tattoo.
Rough estimate of months, years, weeks, etc.
Please include a description of your desired tattoo* (See Example Below)
Ex. “Lipstick tube with crystal amethyst coming out of the tube,” “Peony flower with eyeball in the center,” “Goddess Statue with filigree elements,” “Rose with Knife in center”
Reference 1, Flash Desired, or Cover-Up Desired*
Browse Files
Drag and drop files here
Choose a file
**For Flash pieces please screenshot the piece you would like and upload. **For Cover Ups please take a clear photo in proper lighting of the tattoo you would like concealed. A timer on your camera will help and position yourself so that the tattoo is legible and I can see it directly.
Cancel
of
Reference 2
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Reference 3
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Inquiries, Additional Comments, Questions, or Allergies**
Please specify if you have any allergies to latex or dyes, or if you have sensitive skin. If you have other questions please provide them here and I will respond to them.
Have you been tattooed by me before?
*
Yes
No
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