VERUM Tattoo Request Form

Tattoo Request Form

After review, the VERUM team will reach out to schedule your appointment
Name

First NameLast Name
Birth Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Email
example@example.com
Gender

Other
Tell us about your tattoo idea! (The more detail you give, the better!)
We will keep this form on file and revisit it when designing your piece, so please be clear, detailed, and precise.
Do you have a general size in mind?

Select to type your own response
Where on your body?
Ex: My left inner forearm
Do you want color or black and grey?
Is this a coverup/rework/fix-up?
If this is a cover-up/rework/fix-up, please provide a photo of the tattoo you'd like to change/cover.

For best results, take pictures in a well-lit area, or for large areas, use a mirror.
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Are you wanting a custom or premade design?
If you selected Pre-made, please include a screenshot of the design:

(Pre-made designs are pre-created by a VERUM artist. These designs can typically be found on social media.)
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Days of the week that work for you?
What times of the day are you available?
Ex: Only available before 4pm
If a specific date range is needed, please indicate which dates here:
Ex: Available April 20-30
Please provide any reference photos. (For larger tattoos or when adding to previous pieces, it is also helpful to include a photo of the body part/area/tattoos that you'd like to add to!)

For best results, take pictures in a well-lit area, or for large areas, use a mirror.
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Is there anything else we should know?
How did you find out about us?
Should be Empty: