Tattoo Request Form- Booking May 2026 to August 2026
In order to help me streamline the booking process please fill out any relevant information I may need for your appointment 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. Since I have such limited room available I won’t be able to take on all project request I receive. I will be choosing projects that I feel that I will be able to excel at and best suit my style of tattooing. I appreciate everyone that follows my work, without all of you I would be no where. Thank you all so much.
Name
*
First Name
Last Name
Pronouns
Email
*
example@example.com
Phone Number
Not required, I may phone if needed to discuss further.
Format: (000) 000-0000.
Placement
*
(forearm, calf, etc. BE SPECIFIC.)
Is this a coverup?
*
Yes
No
Placement Location
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If there is a cover-up involved, please take a well-lit photo of the tattoo or scar that you would like covered as well as some area around it. Also please note how old the tattoo/scar is in the description box.
Tattoo Size
*
(HxW in inches) please measure or try to guess.
Style
*
Floral, line work, realism, traditional, dot work etc.
Color or B/G
*
Color, black and grey, mix
Description
*
Reference 1
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Reference 2
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Reference 3
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PREFERRED DAYS OF THE WEEK (unfortunately at this time I do not have any weekend appts available) I am in the shop Wednesday to Saturday 10am to 6pm
*
WEDNESDAY
THURSDAY
FRIDAY
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
*Please note if you are only looking for price estimates and are NOT looking to booking an appointment.*
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