Maiia Ink Model Form

Brow Lady Microblading

281 Main St. Wilmington, MA 01887

microbladingbrowlady@gmail.com

781-808-1650
Fine Line Tattoo Model Request Form

NOTICE: One form per model. Each model must fill out this form to be considered. Thank you! Clients must be at least 18 years of age and present a valid photo ID upon request at the scheduled appointment.
Please check off any of the following medical conditions that apply:
Name*

First NameLast Name
Date of Birth*

DayMonthYear
Phone Number*
Email*
example@example.com
Are you UNDER the age of 18? (17 under)*

YesNo
Tattoo Concept*
Select the tattoo youre interested in. If multiple
Tell me more about the concept:*
Ex: include Month of birth flower and for whom, how open are you to modifications, be as detailed as possible please.
Placement*
ex: on left forearm, on left rib, right shoulder blade, etc
Desired Size*
Price starts at $60 each piece, price varies by size. 2.5in-4in increase by min $20. Final price will be determined in person.
Amount of Shading *
Reference Photos *

Provide 1-2 reference images for each tattoo concept that you would like. Pinterest is a great source for inspiration.
Cancelof
Retainer Fee and Confirmed Appointment Details
Have you submitted your retainer fee?*

YesNo
If submitted, did you use Venmo or Cash App?*

VenmoCash AppNot yet
By applying, you are aware and understand that the I am applying a new skill and the results of my work will be equivalent to a beginner level artist. Despite my 6 years of experience as a Cosmetic Tattoo Artist, the body art tattoos produced may not be perfect and as such, will be created to the best of my abilities. Please be patient and kind as I build my craft.Requests will be reviewed on a first-come, first served basis. You will be notified via email and/or text to discuss your concept(s), determine and confirm appointment dates/times and go over next steps. Please allow up to 3 business days for your request to be reviewed. Thank you for your interest!
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Fine Line Tattoo Model Request Form

Please check off any of the following medical conditions that apply:

Retainer Fee and Confirmed Appointment Details