Tattoo Request

Tattoo Request

In order to help me streamline the booking process please fill out any relevant information I may need for your appointment below. If there is a question you do not understand or are not sure how to answer, give a best guess and let me know at the end how I can help. Once this has been filled out you will be automatically put onto a waitlist and from then you will be contacted for more information.
Name*

First NameLast Name
Email or Instagram*
example@example.com
Phone Number
Not required, I may phone if needed to discuss further.
Placement*
(forearm, calf, etc. BE SPECIFIC.)
Is this a coverup?*

YesNo
Placement Location

Cancelof
If there is a cover-up involved, please take a well-lit photo of the tattoo or scar that you would like covered as well as some area around it. Also please note how old the tattoo/scar is in the description box.
B/G or Selective Color*
Description*
Reference 1

Cancelof
Reference 2

Cancelof
Reference 3

Cancelof
PREFERRED DAYS OF THE WEEK*

WEDNESDAYTHURSDAYFRIDAYSATURDAYSUNDAY
PREFERRED TIME OF DAY*

Early (12pm-3pm)Afternoon (3:00pm-5:00pm)Late (6:00pm-8:00pm)FULL DAY (12:00pm-6:00pm)
If you are looking for a specific date, please list below those dates, so I can try to accommodate you.
INQUIRIES & ADDITIONAL COMMENTS
How Did You Hear About New Realm Tattoo?*
Have you been tattooed by me before?

I am a new clientI am a returning client
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