Name
*
First Name
Last Name
Pronouns
Birthdate
*
MM-DD-YY
Instagram
Please type your Instagram name here (@example).
Email
*
email@example.com
Phone Number
*
Please enter a valid number I can call/text.
I am …
*
Starting a new piece with you.
Completing an ongoing piece with you.
Adding to work from another artist.
Colour or black and grey?
*
Colour
Black and Grey
Partial colour
Cover-Up?
*
Yes, tattoo cover-up
Yes, scar cover-up
No
Placement
*
Which body part would you like your tattoo on? Left or right? Inner or outer? Please be specific.
Size
*
Approximately how big would you like your tattoo? Ex: 4-5 inches, half sleeve, full sleeve.
Style
*
Ex: Realism, Illustrative, Traditional, Fine line etc.
Description
Please tell me your ideas for the tattoo, in as much detail as possible.
Add up to 10 photos
Browse Files
Drag and drop files here
Choose a file
Include reference photos of tattoos you’ve found online. References of my work that you like. Any inspiration you have saved. Please also include a clear image from at least 2 feet away of the area that you are getting tattooed (if possible, have someone else take the photo for you).
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Preferred month
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Preferred day of the week
Tuesday
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Thursday
Friday
Saturday
Unavailable Days
Are there any dates that you cannot do?
Questions, Concerns, or Accommodations
Medical Information
Do you have allergies, or conditions that I should know about?
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