You can always press Enter⏎ to continue
Welcome
Hi there, please fill out and submit this form.
19
Questions
START
1
Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
Pronouns (she/her, they/them, he/him)
Not required if you use heteronormative pronouns.
Previous
Next
Submit
Press
Enter
3
Would you like to join my mailing list?
Have first hand access to events, walk in days, special discounts, exclusive promos! (Monthly email, nothing spammy)
YES
NO
Previous
Next
Submit
Press
Enter
4
Email
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
5
Phone Number
*
This field is required.
Required.
Previous
Next
Submit
Press
Enter
6
Placement
*
This field is required.
(forearm, calf, etc. BE SPECIFIC.)
Previous
Next
Submit
Press
Enter
7
Is this a coverup?
*
This field is required.
Yes
No
Previous
Next
Submit
Press
Enter
8
Photo of Placement Location
Please include for cover up requests! Or for placements in between tattoos!
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Please take this picture with no angle, straight on and well lit.
Cancel
of
Previous
Next
Submit
Press
Enter
9
Tattoo Size In Inches
*
This field is required.
(HxW in inches) please measure or try to guess. If you don't have a ruler or tape measure, a debit card length is 3.5 inches for reference.
Previous
Next
Submit
Press
Enter
10
Style (Fine line, Illustrative, Realistic, etc.)
Please note that I only tattoo the following styles: neotraditional, illustrative, illustrative realism, realism, minimal linework, fineline.
Previous
Next
Submit
Press
Enter
11
Color or B/G ?
*
This field is required.
Color, black and grey, or mixed.
Previous
Next
Submit
Press
Enter
12
Description of Request
*
This field is required.
Include "Must Have" details
Please be descriptive. If you think you're saying too much, you probably aren't.
Previous
Next
Submit
Press
Enter
13
If you would like script in your tattoo, please find a font on www.fontspace.com , list it below, and what the exact wording will be. If not, skip this!
Please note, any script in another language, I am unable to redesign or translate seeing as I can only read and write in English. Please make sure if it’s in another language the spelling and script is correct.
Previous
Next
Submit
Press
Enter
14
References (You can upload multiple!)
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
You can submit multiple images.
Cancel
of
Previous
Next
Submit
Press
Enter
15
References (In case you have more)
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
You can submit multiple images
Cancel
of
Previous
Next
Submit
Press
Enter
16
References (A lot more...)
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
You can submit multiple images
Cancel
of
Previous
Next
Submit
Press
Enter
17
ACCOMODATIONS & ACCESSIBILITY
I have an allergic to latex and/or medical adhesives
I have excema or psoriasis
I have a chronic pain condition that will affect my comfort
I would like frequent breaks and/or check ins
I will need extra pillows if laying down to support my back
I will need wheelchair access
I will need assistance onto/off of the tattoo bed
I have trauma history connected to the area we are tattooing
I would prefer a silent appointment (only required communication)
I would prefer instrumental music (lofi or soft ambient sounds)
I'm nervous about pain- is numbing an option for this tattoo?
Previous
Next
Submit
Press
Enter
18
QUESTIONS & ADDITIONAL COMMENTS
Have we covered everything?
Previous
Next
Submit
Press
Enter
19
Have I tattooed you before?
Yes
No
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
19
See All
Go Back
Submit