Tattoo Appointment Request

Katie Moon- Tattoo Submission Form

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Applicant & Contact Information
First and Last Name:
Preferred name (if applicable) and/or pronouns if you’d like to share:
This is what I will use when I contact you and during our appointment.
What is your age? (I do NOT tattoo minors. If you are under 18 years of age I would be happy to tattoo you once you are)
Email Address:
PLEASE ensure your email is correct as it is what I will use to contact you.
Phone Number:
This will only be used if necessary - such as rescheduling due to illness.
Tattoo Details
Brief Description of the Tattoo:
Placement on Body:
Please include left or right side, as it is important for the design process.
Estimated Size (inches):
Doesn’t have to be perfect, just gimme a guess.
Color Preference
Attach Reference Image: References help me have a better idea of what you’re looking for.

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Existing Tattoos in the Area
Do you have any existing tattoos in the area?
Photo of existing tattoo area

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Scheduling Preferences
Which day(s) work best for your appointment? *Please note weekend appointments are extremely limited and not guaranteed.
Preferred time of day
Preferred month(s) for your appointment
Location, Availability, and Notes
Are you local to Winnipeg?
If no, where are you travelling in from?
Dates that DO NOT work for you:
Dates you are traveling, out of town, or have commitments you cannot work around.
What is your Budget?
I work quickly and charge by piece. I do not charge by hour.
Any additional information you think I should be aware of:
Such as: anxieties you may have, first tattoo, bleeding disorders, skin conditions, assistance or accessibility needs for bed/chair. All bodies, abilities, and skin types are welcomed and encouraged in my space. I am happy to accommodate where I am able.
PLEASE ALLOW 7-14 DAYS FOR AN INITAL RESPONSE. PLEASE CHECK YOUR SPAM FOLDER OF YOUR EMAILS IF YOU ARE AWAITING A RESPONSE AFTER 14 DAYS
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Katie Moon- Tattoo Submission Form

Applicant & Contact Information

Tattoo Details

Existing Tattoos in the Area

Scheduling Preferences

Location, Availability, and Notes

PLEASE ALLOW 7-14 DAYS FOR AN INITAL RESPONSE. PLEASE CHECK YOUR SPAM FOLDER OF YOUR EMAILS IF YOU ARE AWAITING A RESPONSE AFTER 14 DAYS