TATTOO REQUEST FORM

One Forty Seven Golden Cross Lane, Catshill, Bromsgrove, B61 0JZ
TATTOO REQUEST FORM

In order to help us streamline the booking process please fill out any information we may need, If there is a question you do not understand or are not sure how to answer, give a best guess. We will contact you if we need any further information.
Who would you like to get tattooed by? Please note Beth and Paul have a different process please see below.

LUKASZJAYSAMGAGENO PREFERENCE
BETH - Please fill out form HERE
PAUL - Please go to his website HERE Paul has a different process.
Name*

First NameLast Name
Phone number *
Please check you have typed correctly
Email*
Please check you have typed correctly
Please tell us best way to contact you*

WhatsAppTextEmail
Tattoo Placement*
(forearm, calf, back etc. Be specific.)
Maximum Budget*
Is this a cover-up*

YESNO
If there is a cover-up involved, please take a well-lit photo of the tattoo or scar that you would like covered as well as some area around it. Also please note how old the tattoo/scar is in the description box.
Also if the new tattoo is to fit between previous tattoos please attach picture of the area.
Placement Photo

Area you would like the tattoo.
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Tattoo Size*
Please guess size in cm or inches
Style*
Realism, Lettering, Japanese, Traditional, Linework, Fineline, Black and Grey, Dotwork etc.
Colour or B/G*
Colour, black and grey, or some mix, let us know
Description*
Please describe your idea here.
REFERENCE 1

Cancelof
REFERENCE 2

Cancelof
PREFERRED DAYS OF THE WEEK*

WEDNESDAYTHURSDAYFRIDAYSATURDAYSUNDAY
PREFERRED TIME OF DAY

Morning from 11amAfternoon from 3pm
INQUIRIES & ADDITIONAL COMMENTS
Any other information we should know, health problems etc.
HAVE YOU BEEN TATTOOED BY ANY OF OUR ARTISTS BEFORE?*

NoYes
IF YES WHICH ARTIST?

PaulBethLukaszJaySamImmoral Youth (Gage)
Please note we DO NOT tattoo anyone under the age of 18 with or without parents consent.
We DO NOT tattoo anyone pregnant or breastfeeding.
All appointments require a non refundable booking fee to secure a date, once a date is secure we require 48 hours notice to reshedule an appointment, if you reshedule within 48 hours, cancel or no show your booking fee will be lost.
Tick Yes to say you have read the above and understood.*

Yes
Thank you so much for your interest! We will get back to you asap with the cost of your tattoo and availability.
Please verify that you are human*
Should be Empty:

One Forty Seven Golden Cross Lane, Catshill, Bromsgrove, B61 0JZ

TATTOO REQUEST FORM