Appointment Request Form

Appointment Request Form
Full Name

First NameLast Name
Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address or Instagram handle
example@example.com or @example
How do you prefer to communicate?
What are you interested in booking?
Date/time you'd like to get tattooed: *Availability is posted regularly in my story on Instagram! Please have a back-up date ready in case your first pick has been booked.

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
If booking flash/premade design, describe it here:
Use this box to describe your idea(s) for a custom tattoo:
Please know I want to hear YOUR thoughts (not ChatGPT or your bestie's). They do not need to be spelled correctly or have punctuation.
How big do you imagine the tattoo?
Inches gives me the best idea so you can get an accurate estimate. For a sleeve or full back please type that!
Do you have a budget you'd like to maintain?
The shop MINIMUM is $100 and goes up based on size/complexity. My hourly rate for multi-sessions (full back, arm/leg sleeves, etc) is $140/hour. See my price estimator below:
Placement ideas:
Include photos of REAL tattoos, artwork, or any other visual to help me understand your ideas - PLEASE NO AI.

PLEASE NO AI IMAGES OF ANY KIND. THANK YOU <3
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For premade designs, flash, & continued projects ONLY:

Here’s a secure payment link to pay your deposit: https://square.link/u/ZG5mqutC

ALL APPOINTMENTS REQUIRE A DEPOSIT.

You will receive a receipt upon payment and I will reach out to you ASAP (most likely on a Tuesday) to confirm booking. You will receive a confirmation text once your appointment is scheduled on the calendar.
Should be Empty: