✶ Tattoo Request Form ✶

In order to help me streamline the booking process please fill 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.

Preferred Name *

First NameLast Name

Preferred pronouns

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Tattoo Placement*

(forearm, calf, etc. Be specific.)

Are you under 18yrs old?*

YesNo

Is this a cover-up

YesNo

If there is a cover-up involved, please take a well-lit photo of the tattoo or scar that you would like covered as well as some area around it. Also please specify how old the tattoo/scar is in the description box.

Placement Photo (of yourself!)*

Please include a clear and good quality photo of your tattoo placement. Yes, this is a photo of yourself. Do not add photos from Google. This helps me understand how your piece should be shaped, sized or even colored.

Tattoo Size*

Please guess/measure size in inches

Style

Surrealism or illustrative (if confused please check my instagram for my style)

Colour or B/G

Color, black and grey, or some mix, let me know

Description*

Please answer this question only if you’d like or would allow for me share it. Why are you getting tattooed? Do you have a reason for the design you’ve chosen?

Tattoos don’t need a reason or a why. I would just love to know if your tattoos carries a meaning. And I want to start sharing my clients stories on Instagram :) only if allowed of course.

REFERENCE 1*

REFERENCE 2

REFERENCE 3

Current Budget*

I understand that thinking of a fair budget can be confusing. If you’d like to know more about how tattoos are priced please contact me. (My current minimum is $200 (small 2-3 inches) For guest spots my minimum is $500. Full day rates start at $1200 and can go up to $2000)

PREFERRED DAYS OF THE WEEK*

Preferred month *

PREFERRED TIME OF DAY*

Afternoon (12pm-2pmLate (3pm-6pm)

INQUIRIES & ADDITIONAL COMMENTS

Instagram *

I sometimes reach back out via Instagram if email doesn’t send or if you’re already a current client.

Would you prefer to be contacted through…*

Instagram DMEmail

Location*

HAVE YOU BEEN TATTOOED BY ME BEFORE?

YesNo

How did you hear about me? *

If you selected a friend, please tell me their name. And if you selected other* please let me know in the space below. *

I have read and agree with all policies and procedures. (Scroll to bottom and click HERE to read procedures)*

Yes

Thank you so much for your interest in my work!

Please keep in mind that by filling this form does NOT mean your appointment is booked. To fully book you'll receive an email (or DM) from me with further instructions. Please be deposit ready ($50-$300 depending on the design and amount of sessions)

By submitting this form and then booking an appointment you agree with the following policies and procedures

read policies HERE

Much love,

Alexia DelCosta