Tattoo Appointment Request Form

Tattoo Appointment Request Form

GET TATTOOED BY JAKE DUTCHER
Thank you for your interest in getting tattooed by me! This is not a test, no one will be excluded based on how you fill out this form. Please make sure you fill out every box and attach photos where it is requested, this will make the process much faster!!
Full Name*

First NameLast Name
Contact Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Birthday *

MonthDayYear
mm-dd-yyyy
Age*
18+ no exceptions
New YorkNorth Carolina
What date and time work best for you? *
Any other specific date and time, if the above selection is not suitable.*

MonthDayYear
Date
Hour MinutesAM/PM Option
Just one more *

MonthDayYear
Date
Describe in detail what you would like to get tattooed*
Please attach a few reference photos!!! Showing style of your tattoo, subject matter, any photos are helpful *

any photos representing style or subject matter
Cancelof
Attach photos of the area of the body you want the tattoo*

be sure to include tattoos in the surrounding area
Cancelof
Approximate budget if applicable
By requesting your appointment you are agreeing to come in with no skin redness due to irritation (sun exposure). Please do not use any kind of numbing creams or lotions, this can impact how the ink goes into the skin. Any of this will result in rescheduling your appointment.

Please eat within 2 hours of your appointment. No children under the age of 18 are allowed in the tattoo studio (this includes the waiting area), this is for their safety and yours. No animals in the studio, this includes in the waiting area.
YesNo
If you are filling out this form and the screen goes gray and doesn't let you move, on please scroll up to the top of the page and acknowledge the pop-up up there!

Ps: It's super cool to have my booking form as an app on your phone
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