Tattoo Booking Request Form

In order to help me streamline the booking process, please fill out any relevant information I may need for your tattoo below. If there is a question you do not understand or are not sure how to answer, give a best guess and let me know at the end how I can help.

Please note that filling this form out does not automatically guarantee an appointment. The purpose of this form is to gather information about your tattoo request, and further communication will be through email to get you officially booked!

Name*

First NameLast Name

Pronouns

(she/her, he/him, they/them, etc.)

Phone*

Area CodePhone Number

Email*

I will continue contact via email. Please check your spam folder.

I acknowledge that I am 18 years old or older.*

Confirmed

Instagram

Where are you traveling from?*

LocalAnother city in FloridaOut of state

Please list and days/times that DO NOT work for you*

This will allow me to schedule you accordingly, I try my best to accommodate to your scheduling needs!

Budget*

This does not guarantee the final cost of the tattoo, but it allows me to set realistic expectations.

Have you been tattooed by me before?*

NoYes

Tattoo Type*

CustomFlash/Premade Design

Tattoo Design Concept*

Please be as descriptive as possible!

Color or Black/Grey*

ColorBlack/Grey

Tattoo Design Reference Photo*

Attach at least one photo that represents the tattoo design that you are wanting. This could be a drawing, graphic, photo, or other tattoo that is similar. Please note that I will not tattoo another artist's design.

Additional Reference Photo

Tattoo Size*

Provide the approximate width and height of the tattoo in inches, or by using an object as a reference (quarter, phone, etc.).

Tattoo Placement*

Forearm, calf, etc. Please be specific.

Tattoo Placement Reference Photo*

Attach a well lit photo of yourself and circle the area that you want the tattoo. I also need to see any other tattoos that are close to this area.

Is there anything in the area being tattooed?*

Ex. Another tattoo, scar, birthmark, etc.

Is this a cover up for an existing tattoo?*

NoYes

If yes, please attach a photo of the existing tattoo

File Upload

I offer quiet appointments to ease the pressure of socializing while being tattooed. I will still give you a thorough consultation prior to starting the tattoo, and will periodically check-in to keep you updated on the process. Regardless of your reasons for wanting a quiet appointment, there is no need to explain or feel apologetic for not wanting to socialize - your comfort is my utmost priority!

I would like to request a quiet appointment.

YesNo