Tattoo Request Form

Tattoo Request Form

Thank you for your interest in booking a tattoo with me! All appointments are being held at the lovely Heart in Hand in Brandon, FL. **ON DECEMBER 28th & 29th 2025 I will be doing a guest spot at White Rabbit Tattoo NYC** Please describe to the best of your ability what you’re looking for below, and if you have any questions you may contact me via email at msearlesart@gmail.com, or call the shop at (813) 315-9153.
Name

First NameLast Name
What are your preferred pronouns?
Ex. She/her. He/Him, They/Them, etc.
Date of birth

MonthDayYear
Date
Are you a minor? (Ages 16 / 17)
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
EmailText message
Brief description of the project
Please include whether or not you would like color in your tattoo!
What is the size in inches?
For a quick reference, a dollar bill is exactly 6"
What placement on the body?
Ex; Right forearm, left outer ankle, etc.
Is this your first tattoo?
Reference Images

Share examples of subject matter, tattoo styles, placement ideas, previous work of mine you like, whatever you feel is relevant and helps describe your tattoo idea!
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Image of the placement on your body

Please include a photo of the area on your body you would like to be tattooed. It's best to have someone else take this photo for you at a flat-on angle with ample lighting.
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What days/times work best for you?
I work Saturday 12-8, Sunday & Monday 12-6, Tuesday and Wednesday 12-8
Target budget
Yes pleaseNo thanksUnsure
InstagramHeart in HandFriend or FamilyI’m a Repeat Client
So what comes next?

Once I receive your form, I will respond to you via Email or text within 3 days.

You will receive a time and price estimate for your tattoo. A non refundable deposit will be required to schedule your appointment, and the amount of the deposit will be deducted from the total of your tattoo on the day of the session.

Once a date is set, you have 48 hours prior to the appointment to reschedule, as well as 1 chance to reschedule. Anything outside of these boundaries results in a forefit deposit. A new deposit will be required to reschedule.

Custom tattoo designs will be shared on the day of the session, and alterations or changes to the design are always welcome.

Any drastic changes to your design may result in rescheduling.

In the state of Florida, If you are a minor of the age of 16 or 17, please come prepared with a completed and notarized form of consent. You will need a parent or guardian to complete the form, as well as be present for the entirety of the service. You can pick up a printed copy of the form at the studio or print it from the Heart in Hand website.

*DISCLAIMER*
I do not tattoo faces. I do not tattoo the necks or hands of minors. If you are 18+ and you would like hand or neck placements, an in person consultation prior to booking is required. These policies are firm and non negotiable.

Thank you so much, I'm excited to hear from you!
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