Appointment Request Form

Appointment Request Form

Let us know how we can help you!
Artist Name
example: Blane Reed
Full Name

First NameLast Name
Contact Number
Please enter a valid phone number.
Email Address
example@example.com
Size of tattoo
Inches x Inches ( For large scale, list "sleeve")
Body Placement
example: Right arm, Left leg, outer forearm
Black/Grey or Color

Black/Grey 1Color
Cover Up

YesNo
Description of tattoo
Please upload reference photo(s)

Cancelof
What date and time work best for you?
Any other specific date and time, if the above selection is not suitable.

MonthDayYear
Date
Hour MinutesAM/PM Option
* Deposits are required in order to book an appointment. To find deposit information, please visit our website under the "Booking" tab. Once your artist has been in contact with you in regards to this form, they will instruct you on how/when to pay the deposit amount.
Should be Empty: