Delicate Ink
Tattoo Submission Form
Please complete this waiver prior to receiving tattoo services.
Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you over 18?
*
Yes
No
Please upload a picture of your valid ID
*
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Do you have any allergies?
*
No
Yes (please specify)
Do you have any medical conditions (such as hemophilia, diabetes, epilepsy, heart conditions, etc.)?
*
No
Yes (please specify)
Are you currently pregnant or nursing?
*
No
Yes
Is this your first tattoo?
*
Yes
No
Did you look over my work & make sure my style aligns with you?
*
Yes
No
Do you agree to give me creative freedom?
*
Yes
Flash, Custom, or Touchup?
*
Flash
Custom
Touchup
Flash number (write N/A if custom)
*
Describe your idea in as much detail as possible! BE SPECIFIC. Exact dates, Names, exact flowers etc. (If a touch up, write touch up and say what tattoo needs it)
*
What size are you thinking?
*
1-3in
4-6in
7-8in
9+in
Color or black and grey?
*
What body placement?
*
Upload a picture of the body part you want tattooed!
*
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Drag and drop files here
Choose a file
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of
Upload inspo photos! (For touch ups- insert a pic of said tattoo)
*
Browse Files
Drag and drop files here
Choose a file
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of
Do you have a budget? If so, are you okay with making changes based off said budget?
I understand I will be charged a fee if I no show.
*
Yes
I agree to follow all after care instructions.
*
Yes
I agree to all policies.
*
Yes
Signature
*
Submit Waiver
Submit Waiver
Should be Empty: