CUSTOM TATTOO REQUEST FORM

Booking for March, April, May, June and July 2026

PLEASE READ:

This is not first come first serve. The ideas that focus on the style that I specialize in (Blackwork) are my priority. Please check out my portfolio to see examples.
I require you to read through my Booking Policy and FAQ'S page prior to filling out this form.
Fill out this form completely and as detailed as possible, this is our consult.
You may submit multiple forms but please do a seperate form for each tattoo.
The person filling out the form must be the person wanting the tattoo.
You can expect to recieve and email from me within two weeks of submitting.

Scheduling Process:
My pricing is $200/hour, minimum of 1 hour.
If approved, you will be contacted for scheduling and info within 2 weeks of submitting your form.
I require a deposit of $80 down to schedule and hold your appointment date. The deposit does not come out of total cost of tattoo price. This is compensation for time spent on drawing your tattoo.
If you do not reply within 48 hours of being contacted with the information, your submission may be forfeited.
Deposits are NON-REFUNDABLE. If you do not show up to your appointment or you cancel within one week of your appointment time, your deposit will be forfeited and you will have to put down a deposit again to reschedule and to keep the rest of your appointments.

E-mail*

Your name*

First NameLast Name

Preferred pronouns*

Date of birth *

Phone Number*

Area CodePhone Number

Are you coming in from out of town? If so, from where?*

Is this your first tattoo?*

YesNo

Have you worked with me before?*

YesNo

Provide a description of your tattoo idea. Keep in mind I do appreciate some creative freedom. *

Please don't hesitate on giving as much info as you can. The more information given to me, the easier it will be to understand your concept and give you a design you will be happy with!

Placement of the tattoo*

Where on the body is the tattoo going to be done?

What side of the body do you want the tattoo to be on?*

RightLeftCenter

Approximate size *

In inches

Upload any reference pictures such as specific photos you want to be incorporated in your tattoo, or similar tattoos that you are inspired by (You can add multiple photos)*

Browse Files

Please no AI generated photos.

Upload a straight-on photo of the part of your body to be tattooed. (You can add multiple photos) Please no weird angles.*

Browse Files

Have someone help you need be. I use this as a template to draw on so please no weird angles

	10:00am	11:00am	12:00pm	1:00pm	2:00pm	3:00pm
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Wednesday
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Friday

CUSTOM TATTOO REQUEST FORM

AVAILABILITY

BEFORE SUBMITTING PLEASE VERIFY THE FOLLOWING