Cosmetic tattoo request

Name *

First NameLast Name
Pronouns
Date of Birth *

MonthDayYear
Email *
example@example.com
Phone Number

Area CodePhone Number
Type of Appointment *

EyebrowsLip blushEyelinerColour correction and reshapeAreolaPerfection Touch UpTouch up (6 months)Touch up (one year)Other
What date do you have in mind? (See Instagram for full availability) *

MonthDayYear
Date
Do you have any questions?
Please upload any reference photos you have. If this is for a flash piece, please upload a screenshot of the piece you are interested in.

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Cancelof
I understand that this booking request form does not guarantee me an appointment. I understand that I will be contacted for follow up via email within 48 hours, and will be required to send a deposit via etransfer within 24 hours of agreeing to an appointment time with the artist. I acknowledge that until the deposit has been received my appointment has not been confirmed. I understand that this is a non refundable deposit. If I need to cancel or reschedule the appointment I will do this no later than 48 hours before my appointment to avoid losing my deposit. I understand that if I make changes to my design after submitting this request and booking the appointment the cost may vary from the quote I was given. *
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