Booking Request Form
This form is only a request to book an appointment. I reserve the right to decline any request as I see fit. Until I have reached out to you via email or text to confirm an appointment's day/time, your design, placement of tattoo, price quote, and have received a deposit: you may be subject to a request decline and/or cancellation.
Preferred Name
*
First Name
Last Name
Preferred Pronouns
Contact Number
*
Please enter a valid phone number.
Email Address
*
example@example.com
Preferred method of contact
*
Text
Email
Preferred date and time (this is not a guaranteed appointment time)
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Please provide a brief description of the design or flash piece you are wanting
*
Desired placement
*
ex. left forearm, outer right ankle, etc. Adjustments ay be discussed.
Approximate size
*
ex. 3x4" not "small" or "large. Adjustments may be discussed.
Reference images
Do you have ANY preexisting health conditions I need to be aware of that could have any effect on the tattoo (ex. heart/blood conditions, syncope, tremors, allergies, etc.)
*
Yes
No
Unsure
If you answered YES , please describe conditions/allergies
This form is completely confidential. It is vital for me to know if any conditions are present that may require extra care or caution.
Budget
*
With all my flash or customs I charge a $20-$100 deposit fee. Depending on the size of the desired piece most run at about $150-$250, larger pieces may run up to $500 or more. Quotes will be discussed prior to appointment.
Submit
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