TATTOO REQUEST FORM

Tattoo Request Form
In order to help me streamline the booking process, please fill out any relevent information I may need for your appointment below. If there is a question you do not understand or are not sure how to answer, give a best guess and let me know at the end how I can help.

I will text you to book an appointment, please have patience with me.

If you do not receive a text message or email from me within 10 days, feel free to DM me on Instagram to let me know!
Preferred Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Tattoo Placement
(Inside forearm, calf, etc. Be as specific as possible.)
Is this a cover-up

YesNo
Placement Photo

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If there is a cover-up involved, please take a well-lit photo of the tattoo or scar that you would like covered as well as some area around it. Also please note how old the tattoo/scar is in the description box.
Tattoo Size
Please guess size in cm or inches
Style
Realism, neotraditional, linework, etc.
Color or Black and Grey
Color, black and grey, or some mix(explain in description box below)
Description
Any and all details that I would need to know to design your tattoo (Photo references below)
REFERENCE 1

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REFERENCE 2

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REFERENCE 3

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PREFERRED DAYS OF THE WEEK

MONDAYTUESDAYSTHURSDAYFRIDAY
PREFERRED TIME OF DAY

Early (11am-1pm)Afternoon (2pm-4pm)Late (5pm-7pm)Other
HAVE YOU BEEN TATTOOED BY ME BEFORE?

Yes, I am a returning clientNo, I am a new client
INQUIRIES & ADDITIONAL COMMENTS
Extra tattoo details, specific date wanted, etc.
Thank you so much for your interest in my work! If you do not receive a text message or email from me within 10 days, feel free to DM me on Instagram (@tatsbyemdem) to let me know!
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Tattoo Request Form