Cover Up Special Request Form
Please read thoroughly and answer all questions! After we review the provided information you will be contacted to schedule consultation if necessary and for appointment booking & prepayment.
Full Name
First Name
Last Name
Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
Please add a photo of the tattoo that you would like covered below.
Browse Files
Drag and drop files here
Choose a file
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Would you like the cover up artwork to be a mystery tattoo?
Please Select
No. I want my design to based on further selections.
Yes. I want my tattoo to be a complete surprise.
Yes, but I want some of the following elements incorporated into the design.
Pick some elements that you are interested in incorporating into your tattoo.
Florals
Skulls
Bugs
Snakes
Black Work
Tell us 3 elements that you would like to be potentially incorporated into your coverup.
Add any additional requests.
Provide Pinterest board link if desired (helpful for mystery pieces)
I understand that these appointments must be prepaid and are nonrefundable.
Please Select
Yes.
Would you like to be notified about promotional services?
Yes
No
Submit
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