Appointment Request Form

Full Name

First NameLast Name

Preferred Name

Pronouns

Email Address

example@example.com

I am over 18 years old and will be prepared to show valid ID at our appointment.

Appointment Location

Other

What day(s) of the week work best for you? Please select all that apply.

OAKLAND: What day(s) of the week work best for you? Please select all that apply.

If you have additional scheduling information you'd like me to be aware of, please share here.

Are you interested in flash or a custom design?

Tattoo location

Example: right inner forearm

Tattoo size

Example: 3" x 5"

Which flash are you interested in? Please note any desired customizations, including color changes or design adjustments.

Please describe the tattoo you want in as much detail as possible. If there's a story or meaning behind the tattoo, feel free to share as much or little as you'd like.

Please upload design references for your tattoo.

Do you have any tattoos around the area where you want your new tattoo?

Please upload a photo of the area where you want the new tattoo.

Is this your first tattoo?

Have you had adverse reactions to any tattoo products in the past, including waterproof bandages (Second Skin/Saniderm)?

Are there any accommodations I can provide to make your experience more comfortable?

How did you find out about my work?

Anything else you'd like me to know?

Would you like to subscribe to my email newsletter, which includes first looks at new designs, art-making process posts, and travel updates?

I acknowledge that after my tattoo request is accepted, I will need to make a $200 non-refundable deposit via Zelle or Venmo (or Wise or PayPal for international clients) that is applied toward the total cost of the tattoo. The appointment date will be officially reserved when the deposit is received.

Once an appointment date is decided, the date will be held for up to 24 hours until the deposit is sent. After 24 hours, if no deposit has been made, the appointment date will be released and made available to other customers.

Small adjustments that do not alter the original concept or composition of the design are free and included in the process. If major changes to the concept, content, or composition of the design are requested after the design process has already begun, a drawing fee may be requested.

I acknowledge that I have the option to reschedule a confirmed appointment with 72 hours advanced notice, free of charge. If an appointment is rescheduled multiple times, a rebooking fee may be required. No-call no-show customers' deposits and guest spot deposits will be forfeited in full, and a new deposit will be required to reschedule.

Thank you so much! You'll be hearing from me soon. :)

Scheduling

Tattoo Information

Additional Info (optional)

Agreements and Policies