Inked Therapy Booking Form
Only fill out this form if you're financially prepared & truly moved to be tattooed by me. I require a non refundable prepaid deposit that goes towards the final total of your tattoo. I take Zelle, Apple Pay, cash, cash app, & debit & credit cards.
Name
*
First Name
Last Name
Would you like to book for a tattoo or a piercing?
Tattoo
Piercing
Both a tattoo & a piercing
Email
example@example.com
Phone number
Preferred Pronouns:
Instagram Handle:
Are you 18+ & can show proof with a government issued ID?
Yes
No
I am a minor who requires guardian consent
What's your budget?
Please provide a brief description of the tattoo/ piercing you have in mind & your preferred placement:
Do you have any reference pictures for your design?
Browse Files
Cancel
of
As I am based in Baltimore,MD where are you located?
I'm Based in Baltimore, MD
I am traveling to Baltimore,MD
I would like one of your Flash Travel Dates
Would you like to continue consultation through an email or through text?
Email
Text
Submit
Should be Empty: