Travel booking request form

Name*

First NameLast Name

Pronouns*

Email*

You’ll receive a response via email

Phone Number*

Format: (000) 000-0000.

Tattoo description *

Please include a general description of the tattoo you’d like. Please specify if it’s an ongoing project that we’ve started. If you’d like to claim one of my predrawn designs please enter the # here! Please keep in mind that I have limited time during travel dates, so pieces hand sized or smaller are best so I can make sure we finish the project.

Have you been tattooed by me before?*

Size & location of tattoo*

Please include an approximate size in inches that you’d like the tattoo to be and the placement on your body.

Style/shading preferences*

Would you like just line work, black and grey, color, or stipple shading?

Photo References

Please include at least 2 or more reference photos for the type of tattoo you’re looking to get so I can get a good idea of what you like! If you’re getting flash or a predawn design, skip this section.. If you’d like to add on to existing work or have a gap to be filled, please also attach a photo of the area you’d like tattooed so I can draw the design to fit the spot.

Flower city convention (Rochester)Brass & Briar (Portland)Myrkwood (Buffalo)

Do you have a budget range for your tattoo?

Shop minimum is $100, which is for anything that takes me less than 30 minutes to tattoo. My hourly rate is $170 or I offer full day (6 hour) sittings for $900. I’m happy to split pieces into sessions based on budget if needed, please specify!

FULL DAY SESSION (11am-5pm)Early Afternoon (11am-2pm)Late Afternoon (2pm-5pm)

How would you like to pay your $100 deposit?*

Allergies

Please list any allergies, or any other general health concerns that might affect your tattoo if applicable

Questions.?

Please ask any general questions or concerns about your tattoo here

Please verify that you are human*