Appointment Request Form
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Are you 18 years of age or older?
*
Yes
No
Are you interested in getting a pre-drawn/flash design
*
Yes
No
Will the tattoo be a cover up?
*
Yes
No
Please describe what you would like to get tattooed. Include specific elements, themes and motifs.
*
What style are you interested in getting?
*
American Traditional
Neo Traditional
Art Nouveau
B&G realism
Stipple shaded
Horror
No preference
Other
If other, please write here:
Where would you like to get tattooed?
*
Approximately how large would you like your tattoo to be? (in inches)
*
Are you a returning client?
*
Yes
No
When are you lookin' to get tattooed?
*
Submit
Should be Empty: