Tattoo Request Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you currently 18 or over the age of 18? I will not be tattooing anyone under the age of 18 even with parental consent.
*
Yes
What is your city of residence?
*
Is this your first tattoo?
*
Yes
No
Have we worked together before?
*
I am a new client
I am a returning client
On your body, where will this tattoo be located?
*
Approximate size in cm/inches
*
Preferred dates for the tattoo appointment
Do you have a budget in mind for this piece? Please provide a general range.
Do you have any allergies or medical issues that could affect the tattoo process?
Please, share a description of your tattoo idea.
*
Please, upload a photo of the area you wish to get tattooed.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please, attach 1 to 5 photos that have inspired you for this project.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Your request form will be reviewed within 2–4 days.
Submit
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