Tattoo Request Form
Full Name
First Name
Last Name
E-mail to be reached at
example@example.com
Phone Number to be reached at
-
Area Code
Phone Number
Are you +18 years of age
Please Select
Yes
What is your DOB
Who are you inquiring for:
Myself
Me and someone else
Me and 2others
Please attach any inspo/reference pics you may have for the tattoo (s)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Detailed description about the tattoo you’re inquiring about ( if you’re inquiring about more than one piece please make sure to mention that in this box section )
Size of tattoo ( if inquiring for more than one tattoo please include size for all tattoos you are inquiring for, ex: sun tattoo: 5inch)
In inches
Placement you’re wanting for the tattoo
Calf,arm,back right shoulder, etc.
Type of style desired
FineLine
FineLine color
Black&Grey
Stipple
Are you a returning client ?
Yes
First time booking
What date were you wanting to book for ?
Please Select
Feb 21 @ 8am
Feb 22@ 11am
Feb 28th @ 9am
March 1st @ 8am /10am
March 7th @ 3pm
March 8th @ 8am
March 14th @ 12pm
March 28th @8am
March 29th @ 8/9am
Have you read and reviewed my policy ?
Yes
Are you taking any BP / blood thinning medications I should know about ?
Preferred method to be reached at
Email
Text
Signature
Submit
Submit
Should be Empty: