Amethyst Intake Form

Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

Are you 18 or above ? (Ages 16 and 17 must be accompanied by a legal guardian to review and sign documents on appointment date!)

Enter age if comfortable doing so

What is your budget for this tattoo? (This helps us design your tattoo within your budget frame.)

Describe your tattoo idea! if you have an image/ sketch feel free to text it to us - (bullet point key components you'd want by importance, then describe your idea)

Where do you want this tattoo to be placed? (potentially , general idea)

Choose appointment Date and Time*

Booking requires a $55 Non-Refundable Deposit TOWARD your appointment.

Rescheduling is allowed once or twice depending on circumstances.

Deposits will not be refunded if you are a no call no show.

If you have any questions please text us with your name and Question!

860-483-6252

Thank you !

$55 Deposit Required

$55.00

Total

$0.00

Payment Methods

Credit Card

Google Pay

Cash App Pay