Booking Form

Booking Form

Agghhh i’m so excited that you’re here 🫶
Name*

First NameLast Name
Date of Birth*

DayMonthYear
Phone Number*
Please enter a valid phone number.
Instagram Handle *
This is how I will get in touch with you regarding your booking. Please make sure to check your requested messages for my response
Email
Not required. Unless you don’t have instagram
Preferred Pronouns
I am only requesting a quote for now
Please keep in mind that my minimum is $250 and that my pricing is based on the detail, size and placement of the design
If you’re friend has done a booking form and you would like to come together, please write their name below
What days work best for you*

MondayThursdayFridaySaturday (I only work every 2nd Saturday)
What times work best for you*

Morning (9:00am - 12:00pm)Afternoon (12:00pm - 5:00pm)No Preference
Are you booking for my Broome guest spot?*
Please note : there is limited availability on the 14th, 15th, 19th and 20th of October. Please include your preference in this form
Other information regarding your availability
Please note that I am currently ONLY taking booking for April
Number of tattoos you’re wanting*
There is a section at the VERY bottom of this form to include information on any extra tattoos
What kind of design are you wanting*

CUSTOMFLASH
IF CUSTOM : please include a detailed and concise description of your idea
IF FLASH : please include number
Please note if the flash you wish to book has been poked/booked before, I will provide a variation to the design with slight changes. This will make the design unique and special to you ✨
Placement - please note I DON’T work with rib placement.*
eg. body part (back of left arm, above elbow)
Approximate size (cm x cm)*
Please note detail is subject to size
Please upload any reference images / inspiration *

Please note I will not copy other artists designs. Any reference images will simply be recreated to suit my style of tattooing
Cancelof
Any additional information I might need to know
Please include any medical/allergy concerns you may have here
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Please carefully read Luna La Poke’s T&C’s before submitting this form. These can be found at the bottom of our website under “Terms and Conditions”.*

I have read and understood the T&C’s
Thank you so much for taking the time to fill out my booking form! I will do my best to get back to you as soon as possible. However I ask that you please allow a total of five business days before touching base xxx

If you’re wanting a second tattoo, please click here BEFORE submitting.
What kind of design are you wanting

CUSTOMFLASH
IF CUSTOM : please include a detailed and concise description of your idea
IF FLASH : please include number
Placement
eg. body part (back of left arm, above elbow)
Approximate size (cm x cm)
Please note detail is subject to size
Please upload any reference images / inspiration

Please note I will not copy other artists designs. Any reference images will simply be recreated to suit my style of tattooing
Cancelof

If you’re wanting any extra tattoos, please click here BEFORE submitting.
What kind of design are you wanting

CUSTOMFLASH
IF CUSTOM : please include a detailed and concise description of your idea
IF FLASH : please include number
Placement
eg. body part (back of left arm, above elbow)
Approximate size (cm x cm)
Please note detail is subject to size
Please upload any reference images / inspiration

Please note I will not copy other artists designs. Any reference images will simply be recreated to suit my style of tattooing
Cancelof
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