Tattoo Request Form

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(Sometimes it won’t let you hit submit, so you may have to fill it out a second time!) Don’t fill this out if you’re just price shopping 🛍
Welcome to 2026, thank you for booking with me using the form--It makes my life so much easier.
Location:

Studio 66 Tattoo 66 Putnam Ave. Porterville, Ca 93257
*IMPORTANT*

•Wait 2 weeks after any vaccine shots/boosters before getting tattooed.

•Please read everything. Some people don't bother reading updates--especially my loyal reoccurring clients 😡

•And before you start this, I do not do sacred tribal tattoos(trendy neotribal cybersigil stuff is ok) I also don't do side of finger tattoos.
Full Name*

First NameLast Name
Pronouns:
Date of birth*

MonthDayYear
Date
Phone Number*

Area CodePhone Number
Do me a solid and make sure the number you put in above is correct 😂
E-mail*
Which city do you reside?(I only ask this because it gives me anxiety when people travel 3+ hours just to get tattooed by me.)
Is this your first Tattoo? (Keep in mind, I do not do hand, fingers, and face tattoos as a first tattoo.)

Yes!No
Are you wanting a tattoo Handpoked, or Machine?*

HandpokedMachine
In Color or Black?🏳️‍🌈🏴*

ColorBlack
Describe your tattoo*
Include what the tattoo will consist of: size in inches(2x2,3x4,etc.) and specific area on body you’d like to place the tattoo(ex. Back of my LEFT arm above elbow.)
Reference photos*

Browse Files
Any photos that inspired you, or that you like the style of Cancelof
Preexisting tattoo photos

Browse Files
Tattoos that are in the area you're getting tattooed. A lot of times people don’t mention that they have preexisting tattoos near the area they’re wanting tattooed and it hinders what I’ve drawn for them. YOU DO NOT HAVE TO SHOW ME EVERY TATTOO YOU HAVE UNLESS IT’S NEAR WHERE YOURE WANTING THE NEW TATTOO. Cancelof
All appointments require a $80 non refundable deposit, Which I will hereby pay once a date is agreed upon. Deposits also go toward the price of the tattoo/drawing—I will not draw without a deposit. (Please do not submit form unless you have your Deposit ready! I will not wait for you to get paid. This is business, not a picnic date.)*

Yes
**Deposits insure that artists get paid for their unseen work, such as the countless hours of drawing, cleaning, and setting up. They also make up for rescheduling and cancellations. Reschedulings and cancellations are like someone calling into work for you, even though you need the money ¯_(ツ)_/¯**
**Deposits can be made with cash in person, under certain circumstances I accept Apple Pay, and Venmo. **
•Minimum for a tattoo is $80, Color minimum $100(cheapest in town)
Budget $$💸
$300 is always a good budget minimum. But I do understand not everyone has lots of money to spare.
*I will be 18+ years of age at the time of my appointment, with a form of identification (PASSPORT, STATE ID.)I am not on any sort of blood thinning medication*

Yes
Do you have any blood born illnesses that I should know of? Disclosure is at your discretion.
It would be cool if we can try to book larger detailed work for 10am's, and smaller stuff for 2pm's and 5pm's but I understand that may not work for everyone! So do as you please, just thought I'd mention ;) lol also willing to start anytime after 5pm aswell.
Available dates:
- January 2026:
- pick whatever day and time works for you and I'll try to work with it lol!
Do not choose a date that is not listed.
Try to Book (minimum) 3 days in advance of desired date. However, not opposed to last minute scheduling either. Please keep in mind that I manually remove dates. So the date you chose might already have been taken. I'm
Appointment date*

MonthDayYear
DateHourMinutesAM/PM Option
Be punctual to your appointment, not early--Please dress according to your tattoo location, so its easily accessible.
(I’m super busy, I’ll get to your form as soon as possible!) In the mean time keep an eye out for an email with an approval or denial. If approved you'll most likely be receiving a text from me--also hydrate the fuck out of the area you're getting tattooed with lotion everyday before your appointment 🤣🤣!)
Should be Empty:

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