Appointment Request
Please fill this out carefully and completely. Incomplete forms may not get an appointment. THIS FORM WILL ONLY LET YOU REQUEST GET WHAT YOU GET, EARCUFFS, OR AVAILABLE DESIGNS! Custom requests are currently closed until January 2025.
Full (preferred) Name
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First Name
Last Name
E-mail
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example@example.com
Instagram or Tiktok handle
Have we worked together before?
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Returning client
New client
Is this your first tattoo?
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Yes
No
Phone Number
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-
Area Code
Phone Number
Pronouns
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Any prevalent skin conditions, allergens, pathogens or other health issues I should know about?
What type of appointment are you looking for?
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Ear cuff (3-7 stripes only)
Other ear designs
GET WHAT YOU GET
Elmpixie Original Design (NOT CUSTOM)
Tell me about your ear cuff! THIS IS FOR 3-6 stripes only! If you want a more elaborate ear tattoo please select “other ear design” above. Any nearby piercings? What colors/palette/flag are you looking for (you can just let me know at the appt if you’re not sure) anything else I might need to know? YOU CANNOT GET AN EAR CUFF ON AN EAR WITH A PIERCING THAT IS UNHEALED OR IRRITATED IN ANY WAY
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Please briefly describe the original design (drawn by Em Whiteseth and selected from Instagram or website) you’re looking to book. This is not the space for custom tattoo submissions. Please also include a screenshot of the design you’re looking to get.
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Please include a screenshot of the specific original design you’d like to get from Em!
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RULES FOR GET WHAT YOU GET 1: choose between $150 and $250 options. 2: select a container, and reveal tattoo. 3: either get that tattoo, or repick, up to three times for $10 each (you can choose between any revealed tattoos). 4: select location and color palette for chosen tattoo.
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I understand
Please attach one well lit photo of the area of your body you’d like the tattoo to end up. Please include any nearby or conflicting tattoos, moles, scars, or any other skin concerns. It is better for me if someone else takes the photo (ex: you’re getting a bicep tattoo, take the photo outside in good light in a tank top, standing naturally, and have another person take the photo from a few feet away.)
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Please upload a clear photo of your ear! Make sure it includes any piercings you currently have
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Tell me about your ear design! If you’re looking for just a simple cuff of 3-7 stripes please select that above.
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Upload a screenshot of one of my pre-drawn ear designs, or anything else you’d like to use as a starting point for your ear design!
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