About You
Full Name
*
First Name
Last Name
Preferred Name
Do you prefer to use a nickname?
Pronouns
Birthdate
*
MM-DD-YY
Instagram
Include this if we have an ongoing conversation on Instagram
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Your Tattoo
I am…
*
Starting a new piece with you.
Completing an ongoing piece with you
Adding to work from another artist
Colour or black and grey?
*
Colour
Black and Grey
Partial Colour
Cover-Up?
*
Yes, tattoo cover-up
Yes, scar cover-up
No
Placement
*
Which body part would you like your tattoo on? Left or right? Inner or outer? Be specific.
Size
*
Approximately how big would you like your tattoo? Ex: 4-5 inches, full sleeve
Style
*
Ex: floral, script, ornamental, semi-realism
Description
*
Please describe your desired tattoo in as much detail as possible.
Add up to 10 photos
*
Browse Files
Drag and drop files here
Choose a file
Include reference photos of tattoos you’ve found online. References of my work that you like. Any inspiration you have saved. Please also include a clear image from at least 2 feet away of the area that you are getting tattooed (if possible, have someone else take the photo for you).
Cancel
of
Preferred days of the week
Tuesday
Wednesday
Thursday
Friday
Saturday
Unavailable Days
Are there any dates that you cannot do?
Questions, Concerns, or Accommodations
Medical Information
Do you have allergies, or conditions that I should know about?
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