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Appointment Inquiry
Please fill out this form if you’re interested in making a tattoo appointment with me!
*You must be 18+ with a valid government ID to get tattooed. No exceptions.*
Red asterisks are required, the rest of the questions are optional.
Name
*
First Name
Last Name
Name field can be your preferred name or nickname if it isn't the same as your legal name
Email
*
example@example.com
Would you like to get email updates on upcoming events I do like guest spots and flash events?
*
Yes please!
No thanks!
I’m already subscribed!
Phone Number
*
You will receive reminder texts about your appointment after booking. Your phone number will not be used for anything other than communication about your tattoo.
Format: (000) 000-0000.
Your Instagram @
Optional
How do you prefer to be contacted?
*
Instagram DM
Email
Text message
Please describe the tattoo design you want to get done. Include any reference pictures you may have below.
*
Reference Picture(s)
Browse Files
Drag and drop files here
Choose a file
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of
Do you want the tattoo in:
*
Color
Black and grey
Solid black/just lines
Unsure
What part of your body do you want the tattoo to go on?
*
Ex: bicep, ankle, ribs, etc
Roughly how big, in inches, do you want the tattoo to be?
*
**in inches. ex: 2x3”**
and/or attach a photo of the body part you want tattooed with the area you want the tattoo to go highlighted
Browse Files
Drag and drop files here
Choose a file
Cancel
of
**The acne medication Accutane can cause negative reactions with healing tattoos. If you are taking Accutane you should consult your dermatologist on wether it’s ok for you to get tattooed **
**Medical devices under the skin like the birth control implant in areas being tattooed may be a hazard and tattooing can cause significant risk to damaging the device. I cannot tattoo over birth control implants**
Do you have any sort of medical device or implant in or near the area being tattooed? Or any medical condition that may effect your skin/healing such as EDS, eczema, skin related conditions, or issues with wound healing?
*
No
Yes
Unsure
It’s ok if yes! This just helps me tailor your appointment to fit your needs
Some tattoo products I may use contain potential allergens like coconut oil, shea butter, lavender, CBD/hemp, or witch hazel. Do you have an allergy to any of these?
Any products containing CBD or hemp that I use are skin care related and do not produce any sort of high or mood alteration. But I do understand that some people prefer 0 contact with anything hemp related due to sobriety or other reasons and if that’s the case just give me a heads up and we won’t use anything containing CBD or hemp products
Do you have an allergy to coconut, shea butter, lilac, CBD/hemp, or witch hazel?
*
No allergies or preference
Yes I have a relevant allergy or preference
Do you have any days of the week that work best for you?
Tuesday
Wednesday
Thursday
Friday
Saturday
Or, do you have a specific date you’re wanting to book for?
Ex: February 12th
Do you have a budget you need to stay within? If so, what is it?
A deposit will be required to set an appointment
*
Yes
I understand there is a deposit
No
The next few questions are optional but are geared towards options I have to make you more comfortable
What are your pronouns?
Would you be most comfortable if I wear a face mask?
Yes
No
No preference
Would you prefer a quiet appointment? Aka minimal conversation while being tattooed
Yes, I prefer the quiet time
No, I prefer chatting
No preference
Submit
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