Tattoo Request Form

Tattoo Request Form
General rate: $175/hr

$100 minimum

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

(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.

(DESIGN PROCESS): I do not share any drafts of your design until the day of your appointment. Im happy to make adjustments to the design at the start of your appointment. Please be as precise as possible in your design description.

***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

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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.
Are you open to expanding your budget if necessary for your project idea?

YesNo, I would rather the details of my idea be simplified to fit my budget.
Description*
Are you open to my creative liberties with your design?

No, I am looking for something specific.Yes, do your thing with my idea.
Color or B/G or both*
Color, black and grey, mix. Please list any specific color accents.
Reference 1

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Reference 2

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Reference 3

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PREFERRED DAYS OF THE WEEK*

TUESDAYWEDNESDAYTHURSDAYFRIDAYSATURDAY
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.
What is the longest amount of time you’ve sat getting tattooed?
Have you been tattooed by me before?*

YesNo
INQUIRIES & ADDITIONAL COMMENTS
Submit your booking form and you will hear from me via email within 1 week.
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