New Client/ Project

New Client/ Project

This Application Form is for new clients and projects. Please fill out this form completely as this is your first step toward booking your appointment. If you are a returning client who has already begun work and needs to book additional appointments for the ongoing project, please proceed to booking. Thank you.

Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date of birth for client only. We do not tattoo anybody under 18 years of age. If you have questions regarding this, please contact the shop directly.
Email
example@example.com
Phone Number*
Please enter a valid text capable phone number.
Medical Conditions
Please list any medical related issues (ie. Allergies, Skin Conditions, Diabetic, etc.)
Please Select an Artist*

Anson EastinAaron EmbersonMiss MarilynKris TirtelJay GardnerFirst Available
Have You Been Tattooed by Us Before

Yes, RecentlyYes, But it has been a whileYes, But with an artist no longer working thereNot Yet
Location on Body*
Please describe where you would like to place your new project. (I.E.: top of left forearm, right hip front, left upper arm 1/2 sleeve, etc.)
Location on Body

Please submit a photograph of the area if covering existing, or space is limited.
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All body locations are susceptible to requiring a touch-up. Please consult your artist over these concern, as some areas of the body will not include a complimentary touch-up. Common areas that are of high liklihood to not have a complimentary touch-up may be but are not limited to: hands, fingers, feet, face, etc.
Is This a Cover-up?*

YesNoScar Tissue
Approximate Size*
Please describe the requested size of your project in inches or centimeters. Please do not describe as "small", "medium", "large", or "normal" etc.
Color/ Black and Grey*

Full ColorSome ColorMostly Black and Grey with Select Color SpotsFully Black and GreySolid Black Only (this includes line work only)Undecided
Style
(ie. Realistic, fine line, geometric, tradition, etc.)
Please Provide a Brief Description of your Requested Tattoo*
If you would like to explain specifics such as certain types of items or colors included, the meaning of, or symbology of items, there will be an additional space to do so below.
Script or Writing
Please include any writing you want to include with correct spelling. Please use www.dafont.com for usable fonts. *Any writing, numbers, or translations are accurate, we are not responsible for errors. Please proofread before the tattoo begins.
Specific Details
Please include any specific details to include such as: types, color or number of items (example, flowers) or the meaning behind your requests. This field is not required but is very helpful for complex requests.
Reference 1

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Reference 2

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Reference 3

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Preferred Days of the Week --Please note, your selected artist may have a selected schedule they go by and may not work on your priority day. Please select more than one day if possible*

SundayMondayTuesdayWednesdayThursdayFridaySaturday
If you are looking for a specific date, please list below and we will try to accommodate you.
Additional Comments or Questions
Thank you for taking the time to complete this form. Once submitted, we will review and forward to your selected artist. You will be contacted with further instructions by your artist to either proceed to time booking for your tattoo session(s), or to shedule an in-person consultation for more complex requests. Deposits are taken only during the session scheduling process. There are no fees or deposits for this form or consultations. If you have further questions, please contact us.
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