You can always press Enter⏎ to continue
2026 appointment request form
This form will help me to streamline the communication process. Please answer all questions and as much detail as you can in the description section. 🖤
13
Questions
START
1
I am currently only booking for MAY. June will be booking closer to the end of May. Feel free to fill out the form if you’re looking to book farther out. I will just add you to my waitlist and reach out with available dates once I am booking for then.
Please do not double submit your forms it will not speed up the process. If that’s okay hit yes to continue.
YES
NO
Previous
Next
Submit
Press
Enter
2
Deposit is required to schedule an appointment. You MUST be 18 to get tattooed. I typically respond within 24-48 hours upon receiving your form🖤
*
This field is required.
If that all works for you hit yes!
YES
NO
Previous
Next
Submit
Press
Enter
3
Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
4
Email
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
5
Phone Number
*
This field is required.
Please enter a valid phone number.
Previous
Next
Submit
Press
Enter
6
Days of the week you are available:
*
This field is required.
I am currently booking MAY only. If you are wanting to book beyond that feel free to continue I will just add you to my waitlist and book you as soon as dates are available. If you have a specific date in mind, please include it in the “Other” option, and I’ll email you if I’m able to accommodate you.
May-Madison WI
June-Madison, WI
Sunday
Monday
Tuesday
Thursday
Friday
Saturday
Other
Previous
Next
Submit
Press
Enter
7
Where on the body were you wanting to place your tattoo?
*
This field is required.
Forearm, calf, etc.
Previous
Next
Submit
Press
Enter
8
About how big in inches were you wanting your tattoo?
*
This field is required.
A dollar bill is roughly 6 inches
Previous
Next
Submit
Press
Enter
9
Do you have a budget you were looking to stay within?
If so please type $ amount here. I will try to stay within your budget if it is possible. My minimum starts at $150 and goes up from there depending on size, placement, design etc.
Previous
Next
Submit
Press
Enter
10
What style would you like your tattoo done in?
*
This field is required.
Outline only
Black and grey
Color
Previous
Next
Submit
Press
Enter
11
Please upload reference photos here.
*
This field is required.
Share the style tattoo you’re interested in, any photos of similar tattoos I’ve done, preferred fonts, or any other inspiration.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Cancel
of
Previous
Next
Submit
Press
Enter
12
Please include any details you think I should know about your tattoo idea, along with any questions you may have. If there are any medical concerns you’d like me to be aware of please add info here.
*
This field is required.
Example: I would like to add this date(4-15) & name(Lola) in the photo.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
13
Last question!
*
This field is required.
Where did you find my work
You've tattooed me before!
Friend/Family member.
Instagram.
Shop Facebook page/website.
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
13
See All
Go Back
Submit