Appointment Request Form

Booking Request

Deposit Required for Appointment
Name*

First NameLast Name
Email
example@example.com
Phone Number*
Please enter a valid phone number.
Placement*
(forearm, calf, etc. BE SPECIFIC)
Tattoo Size
(Roughly how much space in the placement area would you like it covering)
Budget*
Description*
Reference 1

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Reference 2

Cancelof
Reference 3

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PREFERRED DAYS OF THE WEEK (10 am - 5pm)*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
If you are looking for a specific date, please list below those dates, so I can try to accommodate you.
Have you been tattooed by me before?

YesNo
DEPOSIT: once we establish an appointment date a $100 Deposit is required via Zelle, Venmo or Apple Pay in order to save your spot. Please bring cash to your appointment.

deposits are NON REFUNDABLE

deposits will go towards the total of your tattoo. If you are booking a larger project that requires multiple sessions the deposit will apply towards the last session.

Reschedule: if you need to reschedule please let us know 72hrs in advance of your appointment, failure to do so will result in the loss of your deposit.
Should be Empty:

Booking Request