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.

***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.
Description*
If you are inquiring about the March Bratz special, please select all elements you would be open to including in the final design.

Neotribal/Spikey elementsSparklesWingsHornsPiercings/TattoosChainsClown makeupThornsOther (Include your idea in the description box)
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.
Should be Empty: