Tattoo Request Form
  • 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!
  • Format: (000) 000-0000.
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  • Is this appointment to cover up another tattoo or scar?
  • 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.

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Appointment Booking: My weekends book out the furthest, so if you can do weekdays, I can get you in much sooner!
  • Have you been tattooed by me before?
  • Would you like to be added to the mailing list to receive occasional updates?

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      Nonrefundable Deposit

      The Nonrefundable deposit is used as a placeholder for your selected appointments' date and time. In order to book an appointment a deposit is required. 

      $50.00

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      $0.00
    • Should be Empty: