Tattoo Request Form

1

Your Name* This field is required.Hi my name is Rez!

First Name

Last Name

2

Preferred EmailI will be using email or text to communicate as I am trying to move away from Instagram messages so please make sure it is typed in correctly!

example@example.com

3

Preferred Phone Number* This field is required.In the event that I can't reach you via email I'll text you.

Area Code

Phone Number

4

Todays Date* This field is required.

Date

5

I insert name * , verify that I am over 18 years old. Or will be over 18 at the time of the appointment

7

What placement are you looking for?* This field is required.If you are getting more than one please select all options that apply and in the description of tattoo mention which placement goes with what.

Back of Neck

Spine

Upper Leg

Lower Leg

Lower Arm

Upper Arm

Hip

Rib

8

How big are you looking to get it? ( In inches - please try to measure accurately)* This field is required.If interested in booking multiple tattoos select 4-6" or above option

2" and Under

2-4"

4-6"

6" + ( Consultation is required)

9

Description of tattoo : Feel free to go in detail, this will allow me to see if I am a good fit for this tattoo. (You will have the option to add some photos in the next portion)* This field is required.

10

What tattoo style?* This field is required.If none of these apply feel free to message me after on instagram to see if the style you are wanting is something I am open to doing!

Fine Line

Black w/ minimal shading

Black w/ darker shading

Color

11

Tattoo Reference File Upload* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

12

Tattoo Reference File UploadIf you have any more photos to add please let me know when I reach out about booking

Drag and drop files here

Select files to upload

Max. file size: 10.6MB