Booking Request Form- NOVEMBER 2026

Specialising in Dark aesthetic Illustrative Blackwork/ Black and Grey.

Name

First NameLast Name

Date of Birth

Current Government issued PHOTO ID must be presented upon arrival for your appointment - failure to present proper identification may result in loss of appointment. Please note it is a criminal offence to tattoo persons under 18 yrs of age in the state of VIC. Parental consent for under 18’s is NOT considered legally valid in the state of VIC.

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: 0000 000 000.

Are you currently pregnant/breastfeeding?

Appointment Type:

Please note: appointments will take place at Lovers Den Tattoo Studio in Buninyong, further location information will be provided when your booking is confirmed

TUES / WED / THURS / FRI / SAT

All appointments start at 10am, and can run up to 4pm (maximum 6hrs sitting each day) You don't need to fill the whole day, if you only want a smaller piece you are still very welcome to book!

I quote by design, not by hours. You will receive a quote from me for the work you describe in this form. Minimum price is $300 inclusive of deposit.

Select your appointment date, then Press the 10am button to confirm:

Tattoo Placement:

Eg. Inner right bicep / left outer calf / etc.

Please Include a Description of the tattoo idea:

Inform me if this design is a COVER up of an existing tattoo, or going over SCARS, PIGMENTATION, or VARICOSE VEINS. If you fail to inform me that the piece is a cover up until the appointment date, your appointment will be rescheduled and the deposit amount will be void.

Reference Images

Please include at least one reference, no more than 5.

Any illness, whether contagious or not, should be taken seriously. If you are at all unwell leading up to your tattoo appointment please reschedule.

A $100 bank transfer deposit will be required to secure an appointment when your application is successfully processed. If you do not submit a deposit before the due date outlined in your confirmation, you will lose the appointment slot. Cancellation within 48 hours of the appointment date will result in loss of deposit. Your appointment date and deposit are transferable ONCE. You must provide notice 48 hours before the appointment date if you wish to reschedule or the cancellation policy applies. If you must reschedule or cancel the appointment after the free transfer, you will lose your deposit.

By signing this form, you agree to all above statements/that all information you have provided is current and truthful. Submission of a request form does not guarantee an appointment.

Signature

Thank you so much for your interest! An EMAIL response will be sent as soon as your application has been viewed, with information about what happens next.

TATTOO BOOKING REQUEST FORM