Tattoo Request Form

Name on your ID*

First NameLast Name

Preferred name:

Date of birth (Must be 18 at time of appointment)*

Phone Number*

E-mail*

example@example.com

Have I tattooed you before?*

YesNo, I am a new client.

Are you a Las Vegas local? If not, where will you be traveling from?*

Dates/Times you are available? Are you flexible with your availability? My schedule is Mon-Fri noon-7pm. Please note: I only book one month out. Please submit your request only if the desired date falls within this timeframe. *

Tattoo design description*

Please note: I currently prioritize clients that are picking from my available (pre-drawn) designs. I take limited custom work. Please explain your idea in detail if you are interested in a custom piece and provide reference photos.

Placement*

Size (in inches)*

Budget (if any) Please note: Although I try to accommodate budgets, please understand this means the design may need to be scaled down and/or simplified. *

File Upload - Please upload a photo of the area to be tattooed and any reference photos you have. A photo of the area is recommended to ensure the design fits well and to customize the design to the specific size and placement of the chosen area of your body. If you are picking from my pre-drawn designs, please attach a screenshot. You can choose multiple photos at a time.*

For custom work, I ask that you allow me creative freedom during the design process. However, if there are specific elements you want included in the tattoo, please let me know! Minor design changes can be made on the day of your appointment. Major design changes or full redraws may require a new deposit and appointment date. Price quotes are subject to change based on the final design, size, and placement chosen. I typically draw about a week in advance, so please communicate your design ideas with enough notice to allow me to prepare accordingly.*

I understand

I understand a non-refundable deposit of $100-$200 will be required at the time of booking. Appointments are not secured/confirmed until a deposit is made and I agree to all deposit/shop policies.*

I understand deposits are non-refundable and agree to deposit/shop policies

Although we take all possible measures to ensure the safety of our clients, it is important to note that there is always some degree of risk involved in getting a tattoo. While medical complications are uncommon, they may still occur. As with any invasive procedure, tattooing may involve possible health risks including pain, bleeding, swelling, infection, scarring of the tattooed area and nerve damage. It is also essential that you follow aftercare instructions carefully and take proper care of your new tattoo to minimize the risk of any adverse effects.*

I understand

Please use this section for any questions/concerns you may have