Emily Alder Woods Booking Request

1
Name * This field is required.
First Name
Last Name
2
Phone Number* This field is required.
Area Code
Phone Number
3
Email * This field is required.
example@example.com
4
Please upload a screenshot of the flash design you are interested in.* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
5
About what size are you thinking?* This field is required.
1" to 2"
3" to 4"
5" to 6"
7" to 8"
9" +
6
Where are you thinking about placing your new tattoo?* This field is required.
Arm
Hand
Shoulder
Back
Chest
Leg
Foot
Other
7
Ink By M is available Mondays and Fridays. Sometimes, other days and times will open up; select the most flexible days for you. Select all that apply.* This field is required.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
8
What time of day works best for you? Select all that apply.* This field is required.
Morning (9am - 11am)
Afternoon (12pm - 3pm)
Evening (4pm - 7pm)
9
Are you at lease 18 years old?* This field is required.
Yes
No
10
When is your birthday?* This field is required.
Month
Day
Year
11
Is this your first tattoo?* This field is required.
Yes
No
12
Do you have any questions, comments, concerns?
13
I understand that this booking request form does not guarantee me an appointment. I understand that I will be contacted for follow up via EMAIL within 1-2 business days, and will be required to send a deposit within 24 hours of agreeing to an appointment time with the artist. I acknowledge that until the deposit has been received my appointment has not been confirmed. I understand that this is a non refundable deposit. If I need to cancel or reschedule the appointment I will do this no later than 48 hours before my appointment to avoid losing my deposit. I understand that if I make changes to the design the cost may vary.* This field is required.
Should be Empty: