Tattoo Request Form
  • Tattoo Request Form

  • Hi! Thank you for your interest in my work!

    To help me organize the booking process, and help me get an idea of what you're interested in, please fill out any relevant information below. If there is a question you don't understand or are unsure of, give a best guess and let me know at the end how I can help.

    Once this form has been filled out you will be automatically added to my waitlist, and from there you will be contacted for more information. Responses may take anywhere from 2 days to a week.

    I am not accepting cover-ups at this time.

  • I acknowledge and agree by submitting this request to the following:*

  • Format: (000) 000-0000.
  • Is this your first tattoo?*
  • Have you been tattooed by me before?*
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  • If there are scars, freckles, moles, etc. near where you'd like your tattoo, please take a well-lit photo of that area and some skin around it. Please note how old any scars are, and whether or not you would like them to remain visible or be covered in the description box.

  • If applying for a flash piece, please list any minor alterations (shading/colour) here, and submit a screenshot in the references section.

  • Do I have Creative Freedom?*
  • Browse Files
    Drag and drop files here
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  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • PREFERRED DAYS OF THE WEEK*
  • PREFERRED TIME OF DAY*
  • Have You Filled out the Consent Form?*
  • *Please note if you are only looking for price estimates and are NOT looking to booking an appointment.*

  • Should be Empty: