YumeKera's Tattoo Submission Form

Name

First NameLast Name

Preferred Name

Preferred Pronouns

If other, please specify

Where are you booking for?

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Instagram Username

Adding your handle allows me to tag you in post(s) of the tattoo I do for you.

Communication Preference

Approximate Size & Placement

ie: 5 inches wide x 3 inches tall on left thigh

Tattoo Idea

Give a detailed description of your design idea. If you have inspiration pictures, please send them through email at yumekera@gmail.com with your first and last name as the subject.

Are there any pre-existing tattoos in or near the area you want tattooed?

If so, send photos to yumekera@gmail.com. This may require a consultation.

How much artistic freedom?

Colour, Black and Grey, or Linework only?

Budget

My hourly rate is $150 CAD + HST and $150 USD

What days work for you?

If you have specific dates or times you would like to request, put them here!

Please keep in mind that weekends book up fast. If you can make a weekday work, you may be more likely to get on my books!

How soon do you want to book?

How far are you traveling? (This lets me know if I need to accommodate by scheduling an appointment at an earlier or later time)

Please add any additional notes/concerns, if any!

This can include allergies or health concerns that may affect the tattooing process, medical history I may need to be aware of, your favorite kind of dog, etc.

By submitting this form, I acknowledge the following (read and check ALL):

Signature

YumeKera's Tattoo Submission Form

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