Tattoo Request

First Name *

Last Name *

Pronouns

She/Her/Hers

He/Him/His

They/Them/Theirs

Phone *

Email *

Date of birth *

Preferred Artist *

Is this your first tattoo? *

Yes

No

Tattoo size *

Tattoo budget

Tattoo placement *

Do you have any other tattoos, scars, stretch marks or large birth marks in or around the area you would like to be tattooed? *

Yes

No

Not sure

If yes, please upload a photo to show the area of the body you would like to be tattooed.

If yes, please upload photo(s) to show the area of the body you would like to be tattooed (up to 2 images).

Tattoo color *

Color

Black & Grey

Mostly black & grey with a little bit of color

Tattoo description *

Please upload at least 1 reference image of the design you would like.

Reference Image #1 *

Reference Image #2

Reference Image #3

Reference Image #4

By checking one of the boxes below, you confirm that you are either 18 years + or 16 or older with parental consent.

I am 18 years or older

I am a minor 16 years or older, with a parent willing to consent and remain present during the entire procedure

By checking this box and providing your email and/or phone number, you agree to receive email and/or sms marketing messages, announcements, sales and information regarding your business. Your consent may be withdrawn via sms by typing stop at any time. Message and data rates may apply. Message frequency may vary. *

I agree

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