Appointment Request Form
Deposit - $40 | Rate - $80/hr | Minimum - $60 | my number 💖662-825-1840💖 (text only!)
Full Name
*
First Name
Last Name
Pronouns
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
What date and time work best for you?
*
In the event that the date you requested gets claimed by someone else (first to send deposit gets the date), list 2-3 other days that work for you. I do not work on Mondays, Tuesdays, or Thursdays.
*
How many hours are you looking to reserve?
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5 hours
4 hours
2 hours
Less than 1 hour
Please give a detailed description of the tattoo you’re wanting. Make sure to include specifications such as style, size (in inches), etc.
*
Please attach 3+ picture references you would like me to take inspiration from.
*
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Which of these options would you like for your tattoo?
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Color
Black & Grey
Linework only
No preference
On which body part would you like your tattoo to be placed?
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Bicep / tricep (arm)
Forearm
Hand/fingers
Side / front of thigh
Back of thigh
Calf
Shin
Foot
Sternum
Hip
Back of shoulder
Upper back
Lower back
Other
If you selected “other”, please specify. Note: I do not tattoo necks, behind ears, or genitalia.
Would you like a silent appointment? (I will still have to communicate for some things).
*
Yes
No
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