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Tattoo Booking Request Form
Thank you for your interest in my work! Please fill out this form to request a tattoo appointment. Once submitted, I’ll review your request and follow up via email or text to confirm details, pricing, and appointment time.
Danielle Hopkins at Old Crow Tattoo Studio
2812 Telegraph Ave. Berkeley, CA 94705
Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Preferred Contact Method
*
Email
Text
Tattoo Description
*
Please include as much info as you like.
Placement on Body
If you're not sure, that's ok too!
Approximate Size (in inches)
Preferred Day + Time for Appointment
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Alternative Day + Time for Appointment
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Reference Images
Browse Files
Drag and drop files here
Choose a file
Please upload any helpful images such as style or subject references, part of the body to be tattooed, etc.
Cancel
of
Is this a flash design, custom design, and/or cover-up? Select all that apply.
*
Flash design
I'd like a custom design
Cover-up
I have my own design
Other
Budget
*
What budget do you have for this project?
Additional Notes or Requests
Today's Date
*
-
Month
-
Day
Year
Signature
*
SUBMIT
SUBMIT
Should be Empty: