Appointment Request Form

Appointment Request Form

Thank you for choosing me and for your interest in my art! Please provide me with a description of your design in as much detail as possible, so I am able to give you an accurate quote. You will typically receive a response from me within 48 hours of submitting your form. Please be sure to respond to any questions that I may have, via email or phone. Once you have received confirmation from me about your appointment request, you may proceed with booking your appointment through my booking link. You will fill out a consent form in person, upon arrival to your appointment. YOU MUST BRING PHYSICAL ID WITH YOU to your appointment so it can be scanned in and copied.
Full Name

First NameLast Name
Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Specific date and time you would like to book, if available. (Please choose a date and time between Monday-Thursday, 9am-4:30pm.)

MonthDayYear
Date
Hour MinutesAM/PM Option
Any other specific date and time, if the above selection is not suitable. (Again, Please choose a date and time between Monday-Thursday, 9am-4:30pm.)

MonthDayYear
Date
Hour MinutesAM/PM Option
How many tattoos are you looking to receive?
Select appointment type:
Any design that is not from my pre-drawn design options (link to these is available in my LInkTree), should be booked as custom design.
If the appointment type chosen was Touch Up, please describe the tattoo that needs to be touched up (whether it is my work, or another artist's). For the following questions about size and placement, you can give an estimate of the size of the tattoo and do your best to accurately describe where it is placed on your body. A photo upload is required if you are choosing this service so that I can see the tattoo before appointment approval. Thank you!
Provide in as much detail as possible, the design(s) you are looking to receive.
How many inches would you like your tattoo(s) to be? Please include height and width.
Ex. about 4 in. long and 3 in. across
Where would you like your tattoo(s) placed? Please be as specific as possible.
Please upload any reference photos you have, to give me a better idea of your tattoo! (This option is not required unless it is a touch up but is very helpful if you do have any reference photos.)

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Additional reference photo if needed

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Thank you for filling out my form! Please press the submit button, and I will reach out to you as soon as possible.
Should be Empty: