Appointment Request Form
Please provide the following information and I will respond within 72 hours.
Full Name
First Name
Last Name
Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
Are you over the age of 18 (photo ID required at time of appointment)
YES
NO
NO, but I will be on the date of being tattooed
Is this a coverup of an existing tattoo?
YES
NO
Do you want colour or black and grey?
Please Select
Full Colour
Black & Grey
Black & Grey with key colour
Black linework only
Placement on your body (eg. left lower arm, ribs, outer thigh, etc)
Preferred size (eg small= inchxinch, large=Full Sleeve)
Please use INCHES or CM only for smaller designs
Please describe your idea in detail, including preferred style and elements
Upload Reference Pictures
Browse Files
Drag and drop files here
Choose a file
Please note: these are for reference only. Photos of other peoples art cannot be copied.
Cancel
of
Photo of area you want tattooed
Browse Files
Drag and drop files here
Choose a file
*This is only required if you are adding onto/covering up an existing tattoo or filling in an awkward gap
Cancel
of
Which days do you have availability between 11:00AM and 6:00PM
Wednesday
Thursday
Friday
Saturday
Sunday
Please verify that you are human
*
Submit
Should be Empty: