Tattoo Therapy Form

1
Name (as stated on ID)
First Name
Last Name
2
Which city are you wanting to get tattooed?
Norfolk
Omaha
Los Angeles
McAllen
3
Which way would you like to communicate?fill only the preferred contact method
FaceTime Call
Text
Instagram
Facebook
4
Phone NumberThis will be used in case of text comunication or FaceTime
Please enter a valid phone number.
5
Instagram UsernameThis will be used to confirm consultations and ask questions about your tattoo.
6
What day are you looking to get tattooed?Tattoo appointments will be booked in the order of forms received. Please give us time to look over your information and book the best date and time that works best for both parties.
Date
Year
Month
Day
7
Which artist do you prefer?Available Artists: Mark, Justin, Ramses
Mark
Justin
Ramses
No Preference
8
Will this tattoo involve covering up an existing tattoo?
YESNO
9
Will this be your first tattoo?
YESNO
10
Briefly describe the placement for the tattoo you're wanting!
11
How big (measured in inches) do you want the tattoo to be?
12
What style of tattoo are you wanting?
Black and Grey
Realism
Fine Line
Lettering
Small amount of Color
13
Please describe in detail the tattoo you're wanting and anything else you'd like us to know!
Huge
Large
Normal
Small
Ok
Ok
14
File UploadPlease add any reference photos you may have!
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Browse Files
Cancelof
15
By selecting "yes" and submitting this application, you understand the following booking, deposit, and cancellation terms stated below.*Preferred method for booking is through Instagram or in person (Minimum $80 per tattoo). This allows us to do a consultation and communicate about the tattoo. *During the consultation, be prepared to have the size of tattoo (in inches), placement, general idea of tattoo, and references or sketches. *Deposit will be asked for during the consultation. No date, time, or art work will be designed until deposit is made. Payment can be made in cash, card, Venmo, Facebook Pay, or Apple Pay (No exceptions). *Deposit is required to book any tattoo appointment (No exceptions to this rule). *Upon completion of your tattoo, the deposit will go towards your final bill. *Deposit amount will vary depending on the size of tattoo, design, and amount of time ($50 deposit minimum). *Deposits are non-refundable. Tattoos are a commitment. Be committed for the appointment (No exception to this rule). *A 48 hour notice (2 days) of cancellation or rescheduling is required to keep your deposit. Anything less may automatically cause you to lose some or all of your deposit. A new deposit will be required to rebook. Please plan accordingly! Being late to your appointment may also cause you to lose your deposit and reschedule (Artist time is valuable and time is needed to fill spots). *Walk-ins are accepted for small or medium sized tattoos, but please understand that depending on the schedule, a tattoo might not happen the day of walk-in (Unless posted for openings on social media).
YESNO
16
Are you18 years of age?
YESNO
Should be Empty: