Tattoo Request Form

Tattoo Request Form

MacKenzie LeMoine
Howdy! Thank you for your interest! This form helps make my booking process faster and easier!

If you are looking for a quote, please do your best to fill out all sections, be as detailed as possible and please include photo references!

Please do not request bookings for anyone other than yourself!

I typically respond to all inquiries by Tuesday every week by email or text. Please check your spam folder before resubmitting a request!

When selecting available days of the week please select ALL days you are available, not just your preferred days.

My preferred style is American Traditional, but I am always willing to take on requests for different tattoo styles. So please feel free to submit a request for something other than traditional.

Please provide references or request an in person consultation!

My current rate is $150/hour.
Name*

First NameLast Name
I am or will be 18 years of age or older at the time of my requested tattoo appointment.*

Yes
I acknowledge there will be a $50 non-refundable deposit to book a tattoo appointment and I must pay it within 24 hours of confirming an available slot. (This deposit will go towards the cost of your tattoo!)*

Yes
I acknowledge that I will not see the artwork prior to the day of my scheduled appointment, at which time I can ask for any and all changes to be made.*

Yes
What are your pronouns?
she/her, he/him, they/them, she/they, he/they, etc.
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Preferred method of contact*

EmailPhone
Preferred method of payment for deposit*

VenmoApple cash
Where did you find me?*

InstagramTiktokWord of MouthShop Walk-In
Tattoo Idea*
Tattoo style*
American traditional, fine line, etc.
Do you have a budget? If so, what is it?*
$$$
Are there any existing tattoos around the area you want tattooed? (If yes, please include photos of the space you’re looking to fill, or request an in person consult if you’re more comfy with that!)*

YesNo
Tattoo placement*
Be specific, ex: back of my left calf
Black/Greywash or Color*
Size
Please give an exact size range in inches
Reference Images and/or placement area if you have pre-existing tattoos.

Cancelof
Days of the week you are available. Please select ALL days you are available, not just your preferred days.*

TuesdayWednesdayThursdayFridaySaturday
Times of day you are available*

Afternoons 12PM-4PMEvenings 4PM-8PM
Are you a new client or a repeat client?*

NewRepeat
I acknowledge my request fits the following criteria:*
Additional info or questions
Should be Empty: