2026 Intake Form

Need a price quote? DM US
Do not fill out a form for price quotes.

Questions?

Make sure to read our instagram FAQ Highlight.

Only fill out this form if you are ready to book and have been priced quoted by us or are selecting pre-made flash.

Legal Name

First NameLast Name

Email

What is your instagram screen name? (𝗍𝗁𝗂𝗌 𝗂𝗌 𝗁𝗈𝗐 𝗐𝖾 𝗐𝗂𝗅𝗅 𝖼𝗈𝗇𝗍𝖺𝖼𝗍 𝗒𝗈𝗎 - 𝖼𝗁𝖾𝖼𝗄 𝗒𝗈𝗎𝗋 𝖣𝖬𝖲)

Please upload a photo of your ID (front and back) - MUST BE CLEAR TO READ

ID MUST NOT BE EXPIRED. FILE TYPES ACCEPTED: jpg, jpeg, png. All our systems digital and are encrypted. WE CANNOT LEGALLY TATTOO ANYONE WITHOUT AN ID ON FILE. NO EXCEPTIONS.

If using a passport or other ID type please confirm your height and weight:

To ensure your comfort during your visit, provide your height and weight for appropriate seating accommodations. Our tattoo chair supports up to 300lbs.

Are you 18 years old or older? (𝖡𝗒 𝗅𝖺𝗐 𝗐𝖾 𝖼𝖺𝗇𝗇𝗈𝗍 𝗍𝖺𝗍𝗍𝗈𝗈 𝗒𝗈𝗎 𝗂𝖿 𝗒𝗈𝗎’𝗋𝖾 𝗎𝗇𝖽𝖾𝗋 18 𝖾𝗏𝖾𝗇 𝗐𝗂𝗍𝗁 𝗉𝖺𝗋𝖾𝗇𝗍𝖺𝗅 𝖼𝗈𝗇𝗌𝖾𝗇𝗍)

Pronouns

Are you prone to keloid scarring? (𝖽𝗈 𝗌𝖼𝖺𝗋𝗌 𝖿𝗈𝗋𝗆 𝖾𝖺𝗌𝗂𝗅𝗒 𝗈𝗇 𝗒𝗈𝗎𝗋 𝖻𝗈𝖽𝗒)

Are you currently pregnant or nursing?

Are there any medical conditions that we need to be aware of?

Super important to disclose so that we can best accommodate to any medical needs. EX: Shaky legs, eczema, twitching, anemic, diabetic, etc.

Is this your first tattoo?

Will you require tattoo numbing cream? (𝗍𝗁𝗂𝗌 𝗅𝖾𝗌𝗌𝗈𝗇𝗌 𝗍𝗁𝖾 𝗉𝖺𝗂𝗇 𝖻𝗒 70% 𝖻𝗎𝗍 𝖽𝗈𝖾𝗌 𝗇𝗈𝗍 𝖼𝗈𝗆𝗉𝗅𝖾𝗍𝗅𝖾𝗒 𝗋𝖾𝗆𝗈𝗏𝖾 𝗂𝗍)

Would you like this session to be a quiet session? (𝗐𝖾 𝗐𝗈𝗇'𝗍 𝗍𝖺𝗅𝗄 𝗈𝗇𝖼𝖾 𝗍𝖺𝗍𝗍𝗈𝗈𝗂𝗇𝗀 𝗁𝖺𝗌 𝗌𝗍𝖺𝗋𝗍𝖾𝖽 𝖺𝗇𝖽 𝗒𝗈𝗎 𝖼𝖺𝗇 𝗅𝗂𝗌𝗍𝖾𝗇 𝗍𝗈 𝗒𝗈𝗎𝗋 𝗆𝗎𝗌𝗂𝖼 𝗈𝗋 𝖺 𝗉𝗈𝖽𝖼𝖺𝗌𝗍 𝗈𝗋 𝗐𝖺𝗍𝖼𝗁 𝖺 𝗆𝗈𝗏𝗂𝖾)

Please select one (these are ranges not final quotes):

IF you picked flash tattoo please notate # on the design:

Notate the # next to the flash tattoo (if there is one)

Will this be in black in or color?

Tattoo Inspo / Example:

Insert 2 examples of what you want your tattoo to look like. Only accepted files are: jpg, jpeg, png.

Tell me more about this tattoo. 𝖡𝖾 𝗏𝖾𝗋𝗒 𝗌𝗉𝖾𝖼𝗂𝖿𝗂𝖼. 𝖦𝗂𝗏𝖾 𝖽𝖾𝗍𝖺𝗂𝗅𝗌 𝗈𝗇 𝗌𝗁𝖺𝖽𝗂𝗇𝗀, 𝗅𝗂𝗇𝗂𝗇𝗀, 𝗍𝗁𝗂𝖼𝗄𝗇𝖾𝗌𝗌, 𝗈𝗋 𝖼𝗈𝗅𝗈𝗋 𝖼𝗈𝗆𝖻𝗈. NOTE: ONCE DESIGN IS SUBMITTED YOU CANNOT CHANGE THE ORIGINAL CONCEPT IDEA.

Tell me more about this tattoo - from the images you attached which specific images in the photos do you want? and any specific details to the tattoo itself regarding shading, line thickness, or color combo.

Where will this tattoo be placed? ( 𝖭𝗈𝗍𝖺𝗍𝖾 𝖫𝖾𝖿𝗍 𝗈𝗋 𝗋𝗂𝗀𝗁𝗍. 𝖶𝗁𝗂𝖼𝗁 𝖿𝗂𝗇𝗀𝖾𝗋𝗌, 𝗐𝗁𝗂𝖼𝗁 𝖺𝗋𝗆, 𝗅𝖾𝗀, 𝗇𝖾𝖼𝗄, 𝖾𝗍𝖼. 𝖵𝖺𝗀𝗎𝖾 𝖺𝗇𝗌𝗐𝖾𝗋𝗌 𝗐𝗂𝗅𝗅 𝗀𝖾𝗍 𝗒𝗈𝗎𝗋 𝖿𝗈𝗋𝗆 𝖽𝖾𝗇𝗂𝖾𝖽.)

We DO NOT WORK ON: palms, genitalia, butts, armpits, directly on breasts, bottom of feet, or inside your mouth.

If you would like script in your tattoo: 𝗉𝗅𝖾𝖺𝗌𝖾 𝖿𝗂𝗇𝖽 𝖺 𝖿𝗈𝗇𝗍 𝗈𝗇 𝗐𝗐𝗐.𝖽𝖺𝖿𝗈𝗇𝗍.𝖼𝗈𝗆 *𝖨𝖥 𝖥𝖮𝖭𝖳 𝖨𝖲 𝖭𝖮𝖳 𝖮𝖭 𝖣𝖠𝖥𝖮𝖭𝖳.𝖢𝖮𝖬 𝖶𝖤 𝖢𝖠𝖭𝖭𝖮𝖳 𝖴𝖲𝖤 𝖨𝖳* 𝗉𝗅𝖾𝖺𝗌𝖾 𝗅𝗂𝗌𝗍 𝗍𝗁𝖾 𝖭𝖠𝖬𝖤 𝗈𝖿 𝗍𝗁𝖾 𝖥𝖮𝖭𝖳 𝖺𝗇𝖽 𝗐𝗁𝗈 𝗂𝗍 𝗂𝗌 𝖡𝖸 𝖻𝖾𝗅𝗈𝗐, 𝖺𝗇𝖽 𝗐𝗁𝖺𝗍 𝗍𝗁𝖾 𝖾𝗑𝖺𝖼𝗍 𝗍𝖾𝗑𝗍 𝗐𝗈𝗋𝖽𝗂𝗇𝗀 𝗐𝗂𝗅𝗅 𝖻𝖾 𝗂𝗇 𝗍𝗁𝗂𝗌 𝖿𝗈𝗇𝗍.

Please note, any script in another language, I am unable to redesign or translate seeing as I can only read and write in English. Please make sure if it’s in another language the spelling and script is correct.

What days can you book?

What time frames are you available on those days?:

Are you looking to book with a friend or a partner? 𝖯𝗅𝖾𝖺𝗌𝖾 𝗅𝗂𝗌𝗍 𝗍𝗁𝖾𝗂𝗋 𝖿𝗎𝗅𝗅 𝗇𝖺𝗆𝖾 𝗁𝖾𝗋𝖾. 𝖭𝖮𝖳𝖤: 𝖳𝗁𝖾𝗒 𝗐𝗂𝗅𝗅 𝗇𝖾𝖾𝖽 𝗍𝗈 𝗌𝖾𝗇𝖽 𝗂𝗇 𝗍𝗁𝖾𝗂𝗋 𝗈𝗐𝗇 𝖿𝗈𝗋𝗆.

NOTE: They will need to send in their own form to be approved.

*A reminder that we do not allow guests during your session unless they are also scheduled for a tattoo. If they are your ride please inform us asap. Our space is small, this also allows our artist to focus on your design.