TATTOO SUBMISSION FORM

Tattoo Appointment Request
Hello, thank you for your interest in booking a tattoo appointment. Please complete this form in full. This allows me to fully understand your idea and ensure we’re a good fit.

You will receive an email response with your scheduled appointment date and time, along with answers to any questions you include below. Incomplete or unclear submissions may not receive a response. You will receive a consent form prior to the appointment.

I appreciate your patience and respect for my time and process — I look forward to creating something meaningful with you.
NAME

FIRSTLAST
SUBMISSION DATE:

MonthDayYear
DATE
PHONE NUMBER
PLEASE ENTER A VALID PHONE NUMBER.Format: (000) 000-0000.
PLACEMENT
RIBS, ARMS, LEGS, ETC.)
TATTOO SIZE
(PLEASE LET ME KNOW YOUR INTENDED SIZE IN INCHES (EX: 4.75 in)
DESCRIPTION OF TATTOO:
PLESE DESCRIBE YOUR TATTOO IDEA IN DETAIL
If there are any important details or elements you’d like me to focus on during the design process, please include them below. We want to make sure those important pieces are added.
ADDITIONAL DETAILS
OPTIONAL
STLYE

OTHER
Include a reference photo:

Cancelof
REFERENCE 2

Cancelof
REFERENCE 3

Cancelof
Preferred Appointment Date & Time
INQUIRIES & ADDITIONAL COMMENTS
HAVE YOU BEEN TATTOOED BEFORE?
HOW DID YOU HEAR ABOUT ME?
Thank you for your submission! I do my best to respond as quickly as possible; however, please allow 24 hours for a reply. Keep an eye on your inbox, as a deposit MAY be required within 24 hours to secure your appointment.

Please understand that I’m not able to take on every submission and can only book a limited number of clients each month.

As a thank you, any client you refer after your session who receives a tattoo from me will earn you a 10% off coupon toward your next tattoo.
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Tattoo Appointment Request