Application for Tattoo appointment

Hello, my name is Derek Van Skyock. I was just an ordinary guy, until one fateful day a vat of radioactive tattoo pigment poured over me, giving me amazing drawing abilities and tattooing skills!

With these newfound powers, for the past decade I’ve committed my life to creating fun, whimsical, illustrative tattoos! All this while thwarting the evils of improper aftercare & the dreaded no-call, no-show!

I aim to create the best tattoo for you possible! I am excited to work with you on this epic tattoo adventure.
artistic adventure awaits!

to help me better help you with your tattoo journey, please fill out the form in its entirety
Let’s hear about you !
Name*

First NameLast Name
Preferred name
Chosen name, nickname, character name, etc.
Is this your first tattoo?

Yes ( welcome to the club! )No I have a coupleI am covered manThis is my first tattoo in a shop
What’s your age again?*
I will not tattoo anyone under 16 years of age, and absolutely no minors without parental consent.
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Instagram
Preferred contact method*

TextEmailInstagramAny of the above
How did you hear about me?*

Return clientWord of mouthInstagramBusiness cardOther
Tell me about your tattoo!
Note: I have my own drawing style that I have refined over the years, and I require the artistc freedom to draw your design in my style. This way, you will get the best work from me possible. (I will still replicate script, fingerprints, and handwriting)
Is this for a consultation or touch up?

Consultationtouch upneither
custom, flash, rework, or cover up
If you’re trying to get one of my flash pieces please tell me which one in the description box.
What size is this tattoo?*
Example: 3” x 3” , palm size, half sleeve, etc.
Location of the tAttoo*
Example: inside bicep, back of calf ,throat, etc.
Tattoo location (Max 1)

If you’re trying to fit this tattoo in a specific spot, or trying to fill a gap between tattoos, Please upload a photo of the location so I can better design it.
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use the space below to give me a detailed description of your tattoo concept.*
Please be as thorough as possible when describing. Tell me the most important things to include. if you have reference images, please describe them here.
reference (MAX 3)

Upload any references that you think will help me create the best piece possible. This is not mandatory but it does make drawing the piece easier.
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Booking!
Are you coming from out of town?

YesNo
Select your preferred date & time: *
*NOTE: Appointments after 6pm are reserved for smaller work only!*
Payments:

CASH ONLY!
When you come in for the tattoo all final payments need to be paid in cash. This allows the full amount to be taken, without me being hit with a handling fee. Thank you for your understanding.
Deposit:

A $100 deposit is required to book any appointment. This deposit is NON-REFUNABLE and is there to insure your appointment date. I can do cash deposit at the shop. The deposit comes off the final price/last session of the tattoo. I will allow you to reschedule once, however after that you will need to put down a new deposit.
Reschedules & cancellations:

Reschedules and cancellations suck but they do happen. If you need to reschedule or cancel appointment, please do so within 48 hours of your appointment date. this allows me enough time to rebook that date. Failure to do so will result in loss of deposit!

no-call no-show:

deposits will be forfeit & the full tattoo amount will be required up front before ever booking again.
By clicking this you have agreed to all of the terms listed throughout the form.*

I Agree
Should be Empty:

Let’s hear about you !

Tell me about your tattoo!

Booking!