Tattoo Request Form
Please fill out the form and I’ll be in touch to set up a consultation or appointment :)
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Placement
*
(forearm, calf, etc.)
Tattoo Size
*
(HxW in inches) or try to guess.
Color or Black & Gray
*
Please Select
Black & Gray
Color
Budget
*
Please Select
$150-$250
$250-$350
$350-$500
I don't care - make it awesome!
Description
*
Reference 1
*
Browse Files
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Choose a file
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of
Reference 2
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Reference 3
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Choose a file
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of
WHAT DAYS ARE YOU AVAILABLE?
*
Tuesday
Wednesday
Thursday
Friday
PREFERRED TIME OF DAY (Optional)
Morning (10 AM - 12 PM)
Afternoon (12 PM - 5 PM)
Evening (5 PM - 8 PM)
If you are looking for a specific date, please list below those dates, so I can try to accommodate you.
INQUIRIES & ADDITIONAL COMMENTS
Have you been tattooed by me before?
Yes
No
How did you hear about me?
Instagram
Facebook
Friends/Family
Other
I am at least 18 years old.
*
Yes
I acknowledge that there is no elevator or ramp access to the studio, and I am able to walk up stairs to reach the 3rd floor.
*
Yes
Submit
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