Tattoo Request Form

Tattoo Request Form

~Catharsis Tattoo Gallery~
Thank you for your interest in booking with us! To ensure a smooth and efficient process, please provide detailed descriptions of your tattoo ideas within this form.

If you would prefer a walk-in consultation, we are available Tuesday through Saturday, from 12:30 PM to 7:00 PM.

Please note that a deposit fee of $50 to $200, depending on the size of your project, will be required to secure your appointment. Our shop minimum is $100. Additional booking details will be provided after we have reviewed your submission.

We look forward to bringing your tattoo vision to life!
By using our form, you acknowledge and accept that you may be contacted via email/text message regarding your services by Catharsis Tattoo Gallery. Your continued use of our services implies your consent to this policy. Please be assured that we respect your privacy, and your contact information will not be shared with third parties for marketing purposes. Standard message and data rates may apply for text messages.

I Accept
Have You Been To Our Shop Before?

YesNo
Full Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
If You Are A Minor Under 18 You Must Have Parent Consent To Book

We do NOT tattoo minors under 16 years in age.
Are You A Minor?

YesNo
Full Name Of Consenting Parent

First NameLast Name
Please Upload Consenting Parents ID And Minors Birth certificate

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Tattoo Information

Please be sure to fill out all fields to provide detailed explanations of your tattoo inquiry.
Who Are You Seeking In The Shop?

Anthony ClesceriReagan LavishAzia ShailynDougie B.James AdamsKitNo Preference
What Tattoo Style Are You Looking For?

Black & Grey RealismColor RealismDelicate/Fine LineNew SchoolNeo TraditionalTraditionalScriptAnimeOther
Is This A Coverup?

YesNo
How Old Is Your Tattoo Or Scar?
Tattoo Placement
Where on the body would you like this tattoo? e.g. arm, leg, back, etc.
What Side Of The Body?

RightLeft
Tattoo Size
Approximately how big (in inches) do you want your tattoo to be?
Photo Of Area You Would Like New Tattoo or Tattoo/Scar Looking To Cover

Ensure your photos have proper angles and lighting. For cover-ups, provide a clear image of the entire tattoo, and for scars, a full photo of the scar.
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Description Of Tattoo Idea
Please provide a detailed description of your ideas. Be sure to verify and spell check any written information, such as quotes or dates you would like to include in your tattoo.
Tattoo Reference/Inspiration Photos

Please send any and all photos of designs that inspire you for your next tattoo designs.
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Shop Availability Is Tuesday-Saturday 12:30 p.m.-7:00 p.m.

Please select what days and timeframes that work best with your current schedule. We do NOT book large projects after 6 p.m.
Preferred Weekday And Time Slot

Tuesday 12:30 p.m. - 3:30 p.m.Tuesday 3:30 p.m. - 7:00 p.m.Wednesday 12:30 p.m. - 3:30 p.m.Wednesday 3:30 p.m. - 7:00 p.m.Thursday 12:30 p.m. - 3:30 p.m.Thursday 3:30 p.m. - 7:00 p.m.Friday 12:30 p.m. - 3:30 p.m.Friday 3:30 p.m. - 7:00 p.m.Saturday 12:30 p.m. - 3:30 p.m.Saturday 3:30 p.m. - 7:00 p.m.
If You Have Any Scheduling Specifics Or Dates Please Let Us Know Here
Please list requested dates here. E.g. MM/DD/YYYY
I understand that my requested tattoo date and artist are not guaranteed.

I Understand
I understand that deposits are non-refundable.

I Understand
I am aware that my tattoo might require a consultation. If I do not need a consultation, I understand that a deposit ($50 minimum) is required in order to schedule my appointment.

I Understand
We appreciate your time in completing this request form!

Once your form has been reviewed, we will contact you with further information on booking and deposit procedures.

~Thank You~
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Tattoo Request Form

If You Are A Minor Under 18 You Must Have Parent Consent To Book

Tattoo Information

Shop Availability Is Tuesday-Saturday 12:30 p.m.-7:00 p.m.