Tattoo Inquiry
Please fill out all required fields. Please describe your desired design as detailed as possible. Once I receive the form, you will receive a confirmation email. If you have any further questions, feel free to reply to the confirmation email.
Full Name
*
First Name
Last Name
Age
*
Pronouns
Telephone number
*
E-mail adress
*
Ich interessiere mich für einen Termin in folgender Stadt:
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I am interested in an appointment in following city:
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Cologne
Tattoo idea or desired motif (including details, size, placement)
*
Reference picture / wannado
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If applicable: illnesses, need for medication, allergies
*
Other details (scars, other tattoos, cover-up: please attach image)
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Availability / Preferred Dates
*
Back
Next
Ich would like a consultation
*
Yes
No
I have read the privacy policy and agree to the procession of my data in accordance with the GDPR.
*
Yes, I agree
Here you will find the
privacy policy
I expressly consent to the processing of my health information (e.g., allergies)
*
Yes, I agree
Submit
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