Tattoo Request

Tattoo Request Form

In order to help streamline the booking process, please begin by filling 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. Once this has been filled out you will be automatically put onto a waitlist. I check requests 1-2x/week. Upon scheduling the appointment, a $50 non-refundable/non-transferable deposit must be paid within 72 hours via Venmo (@brock_tattoos) or cash. I'm grateful you chose me for your tattoo artist, excited to work on your request, and I appreciate your patience!
Name*

First NameLast Name
Email*
Phone Number*
Pronouns
(i.e., they/them, she/her, he/him, ze/zir, etc.)
Placement*
(forearm, chest, back, calf, etc., BE SPECIFIC)
Placement Location*

You have the ability to attach multiple photos if necessary
Cancelof
Project Type*

NewCover upAdd onTouch up
If there is a cover-up involved, please take a well-lit photo of the tattoo or scar that you would like covered with some area around it. Please include how old the tattoo/scar is in the description box below.
Tattoo Size *
(HxW in inches) please measure or try to guess.
Palette*
Color, black and grey, mix
Style*
Illustrative, floral, line work, realism, Japanese, American traditional, neotraditional, dot work, etc.
Design Description*
Reference(s)

Attach any and all reference files you may have for your tattoo design
Cancelof
PREFERRED DAYS OF THE WEEK*

TUESDAYWEDNESDAYTHURSDAYFRIDAYSATURDAY
PREFERRED TIME OF DAY*

Early (12pm-3pm)Afternoon (3:00pm-5:00pm)Evening (6:00pm-8:00pm)Full Day (12:00pm-8:00pm)
Have you been tattooed by me before?

YesNo
Where are you traveling from?
Inquiries & additional comments
There are no wrong questions! However I can make your tattoo experience as wonderful and stress-free as possible, please let me know. If you are looking for a specific date to book, please list those date(s) so I can try to accommodate you!
Should be Empty:

Tattoo Request Form