Form
Tattoo or Piercing
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Tattoo
Breast Cancer Reconstruction
Piercing
Legal Name
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First Name
Last Name
Email
*
example@example.com
Phone Number
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Please enter a valid phone number.
Client's Age
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Surgeon Info (Name, Address, Phone number)
*
What type of Piercing(s) are you looking to get?
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Submit
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You must be 18 to be tattooed. Try again in a couple years
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Preferred Artist?
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Please Select
Mike Johnson
Dave Hoffman
Herna The Machine
Cameron Larson
Wyatt Frautschil
Will This Be a Cover-Up/Re-Work/Fix-Up?
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Please Select
Yes
No
Have You Been Tattooed By This Artist Before?
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Yes
No
When were you last tattooed by them?
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Best Guesses Are Fine
What did they tattoo on you?
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New Tattoo Details
Is this a touch-up?
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Please Select
Yes
No
Is this a continuing piece that THIS artist started?
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Please Select
Yes
No
Please Select One
*
Please Select
We have it planned out, and I just need another session.
We finished my original idea, and now I am looking to add to it.
Another artist started it, and I am looking for someone to finish it.
Options
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Please Select
Custom Design
Artist's Pre-Drawn Design
Please Only Select Pre-Made Designs if this specific artist already drew this design and you found it on their socials
Body Location
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Please Select
Inner Bicep
Outer Bicep
Shoulder
Inner Forearm
Outer Forearm
Chest
Calf
Thigh
Hip
Ribs
Foot
Shin
Ankle
Stomach
Neck
Face
Other
Side of Body
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Please Select
Left
Right
Center
Black and Grey, Or Color?
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Please Select
Black and Grey
Color
Does This Idea Contain A Portrait?
Yes
No
Tattoo Details
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How Did You Find Us?
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Please Select
Google Search
Local
Social Media
Friend/Family Referral
Flyer
Other
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