Tattoo Consent Form

1449 Prairie Ave #2 Port Coquitlam BC V3B1S9
Client Information

Please fill out the information below to the best of your knowledge
Full Name*

First NameLast Name
Age*
Date of Birth*

MonthDayYear
Date
Phone Number*

Area CodePhone Number
Email*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Tattoo Description *
Please describe your tattoo in detail. Size (in inches or cm) placement, colour, ect.
Add reference photos here.

Browse Files

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If script please upload as many examples as you can, or go on “font space” or “da font”

Browse Files

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Body Location of Tattoo*
Preferred day of the week*

MondayTuesdayWednesdayThursdayFridaySaturdaySundayAny day works for me
I only tattoo people over the age of 18, no exceptions. Please click button below to confirm you are 18 or older.*

I agree
Before you submit this form know that I will reach out to you to ask for a deposit. This is required to book and you will not be booked in without one.
The deposit is non refundable but goes towards your tattoo appointment (amount of deposit is taken off of total of the tattoo)

if you have questions pertaining to the appointment email me at "tattooedbymick@gmail.com"
Should be Empty:

Client Information