Appointment REQUEST Form

Full Name*

First NameLast Name

Previous client?*

Contact Number*

Please enter a valid phone number.

Email Address*

example@example.com

Are you traveling from another city/state, if so, where from?*

How many people are you looking to book for?*

Design Description? (size in inches, placement of tattoo, tattoo cover-up/scar cover-up?)*

Reference Image or photo of previous tattoo/scar*

Reference Image*

Reference Image

Preferred artist*

Ink options*

black/greycolor

Budget?*

What date and time work best for you? (THIS DOES NOT CONFIRM YOUR APPOINTMENT)*

Any other specific date and time, if the above selection is not suitable.*

Date

DEPOSIT POLICY: You will receive an email within 24 to 48 business hours with details on appointment availability and finalizing your desired appointment date/time. All appointments require a $60 nonrefundable deposit via Zelle or Venmo. Your deposit is deducted from your total balance on the day of your appointment. All remaining balances are due in CASH ONLY. We have an ATM onsite for your convenience. Deposit instructions are sent out after an agreed-upon appointment slot. Cancellations within 48 hours forfeit the original deposit. No calls/no-shows forfeit their deposits. One reschedule is allowed if it is requested at least 48 hours in advance of your appointment.