Tattoo Request Form

Tattoo Request Form
General rate: $175/hr

$100 minimum

Half-day (3 hours): $525

Full-day (6 hours): $1050

---

BIPOC discount: $100/hr* (customs only, flash is not eligible for this discount)

*Discount offered by request to BIPOC folks only. Please include your interest in this discount in your budget preferences. If you do not request this discount, you will be quoted with my original hourly rate.

A $75-$200 deposit is required to book and goes toward the final cost of your tattoo.
Deposits are non-refundable if you choose to cancel.

(RESCHEDULES)
If you need to reschedule, please let me know in advance and your deposit can be moved between appointment dates.

Reschedules made within 48 hours of the appointment must repay a deposit.

More than one reschedule will require repayment of a deposit.

***PLEASE READ***
The shop is not ADA accessible and requires going up stairs to enter the building. If you need accommodations because of this, please let me know. I will be using a secondary space for those who need it.
Name*

First NameLast Name
Pronouns
(She/her, they/them, he/him)
Email*
example@example.com
Phone Number*
Placement*
(Left forearm, right calf, etc. Please be specific.)
Is this a coverup? (Scar or existing tattoo)*

Yes, it will be covering a scarYes, it will be covering an existing tattooNo
Will this need to be fit between any existing tattoos?*

YesNo
Placement Location

Cancelof
Please include a well lit photo of the area if a cover up is involved or if we are filling in space between existing tattoos.
Tattoo Size *
(HxW in inches) please measure or try to guess.
Budget
Include roughly how much you’re looking to spend on this project.
Style (not required if you are inquiring about available flash or a freehand piece)
(Fineline, realism, etc.) If you are referencing the style of a previous tattoo I’ve done, please upload a photo of the tattoo below.
Cancelof
Color or B/G or both*
Color, black and grey, mix. Please list any specific color accents.
Description*
Reference 1

Cancelof
Reference 2

Cancelof
Reference 3

Cancelof
PREFERRED DAYS OF THE WEEK*

WEDNESDAYTHURSDAYSATURDAY (December only)
PREFERRED TIME OF DAY*

Early (12pm-3pm)Afternoon (3:00pm-5:00pm)Late (6:00pm-8:00pm)FULL DAY (12:00pm-8:00pm)
If you are traveling, please list below where from.
INQUIRIES & ADDITIONAL COMMENTS
Have you been tattooed by me before?*

YesNo
Submit your booking form and you will hear from me via email within 1 week.
Should be Empty: