Lozza Lou Tattoo Request Form

First Name*

Last Name*

Email*

Confirmation Email

Phone Number*

Used to attach to your appointment when booking in.

City Looking to Book*

City/town are you travelling from?*

Project Type*

Tattoo Placement*

e.g. Right forearm, upper back, chest, left shin

Questions? Comments?*

If you’d like to split larger sessions into smaller ones, or have a rough budget for the project in mind, let us know here. Note: budgets may not always be able to be accommodated - typically smaller budgets will require less detailing in the tattoo. if level of detail would need to be sacrificed too much.0/80

Project Description*

Feel free to include things such as desired 'style' - e.g. ornamental, botanical, fine-line, bold-line etc.0/80

Tattoo Size*

in Inches, length x width (i.e. 2x6") please be accurate

Tattoo Reference Images*

Please upload any images you'd like to support your request that align with your style/inspiration.

Image Upload of Body Placement

Please upload an image of the location you'd like tattooed, circling the area you'd like the tattoo to cover. See an example here. Please note you are not required to upload a picture of body placement if uncomfortable.

We request an image for the following reasons:

to help in estimating actual time & size needed
to help understand design limitations if there are other tattoos/scars to work around
to allow Loz to draw on top of your image when designing your concept, allowing for better visualization as to how the tattoo will flow with your body.

You may use an image of a generic body part to use instead, if preferred.

Body Placement Reference

Will this be your first tattoo?*

YesNo

I am over the age of 18*

Yes

Appointment Assigned*