Tattoo Request Form

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 and let me know at the end how I can help.

A price quote will be provided when I reach out to you regarding scheduling and at that time I will take a minimum deposit of $100 to reserve your appointment via Venmo, Cash App, PayPal, Apple Pay, or credit/debit card.

I tattoo out of:

Clover & Thrush located at 16 Harmony Place in Brattleboro, VT.

Name (this should match your State issued ID or Passport)

First NameLast Name

Preferred Name

What you would like me to call you

Pronouns

Date of Birth (must be 18+)

This will be verified at the time of your tattoo appointment

Email

example@example.com

Phone Number

Please enter a valid cell phone number.Format: (000) 000-0000.

Preferred Method of Contact

Are you requesting a Custom design or one of my Flash or Pre-drawn designs?

Tattoo Placement

(left forearm, right calf, etc. — be specific.)

Is this a cover-up

Placement Photo (this is a photo of where on YOUR body you want the tattoo - see below for instructions)

You can include more than one photo.

All photos should be well-lit, taken from an angle where the body part is parallel to the camera, the body part should be in the most relaxed and natural position. 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.

Tattoo Size

Please guess size in cm or inches — you can also use a common object to indicate approximate size

Style

American traditional, Neo-traditional, New school, Japanese, Tribal, Script, Watercolor, Geometric, Trash-polka, Fine line, Pointillism, Illustration, Abstract, Cartoon/Anime, etc.

Color or B&G

Color, black and grey, or some mix, let me know

Description

Any and all details I need to know either about your custom tattoo, or specify the pre-drawn design you would like and tell me where you saw it.

Reference 1 (this can be a drawing/doodle/image you found online/etc that will help to show me what you are looking for me to design for you)

Inspiration photo(s), explain in the description what you like about this and what you don't

Reference 2 (this can be a drawing/doodle/image you found online/etc that will help to show me what you are looking for me to design for you)

Inspiration photo(s), explain in the description what you like about this and what you don't

Reference 3 (this can be a drawing/doodle/image you found online/etc that will help to show me what you are looking for me to design for you)

Inspiration photo(s), explain in the description what you like about this and what you don't

Preferred days of the week (Fridays and Saturdays are the most sought after)

Preferred time of day

Questions & additional comments

Have you been tattooed by me before?

If you answered "No" above, is this your first tattoo?

Thank you so much for your interest in my work! Please note that at this time bookings are extremely limited in order allow the shop to operate as safely as possible so I may not be able to accommodate your request for right away but I will try my best.

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Please only commit to taking a time slot if you are 100% certain you can afford it and make the day and time that you commit to. My cancelation policy has changed - any cancellations after booking and putting down a deposit will lose 100% of their deposit.

Sarah E. Rice Tattoo Request