Name *

First Name

Last Name

Phone *

(###)

###

####

By checking the box I acknowledge I am a person at least 18 years of age or older..

Yes, I acknowledge I am at least 18 years of age or older.

May I text you to book your appointment? *

Yes

No, please call.

Have I tattooed you before? *

Yes

No

Are there any existing tattoos? *

No, it is a blank canvas.

Yes, I want to add on to existing tattoos.

Yes, I have tattoos and I want them covered up.

Yes, but it's complicated.

Black and Grey or Color ink? *

Black and grey (with NO color)

Black and grey (with some color)

Full color tattoo

Black only tattoo

What will your tattoo sleeve be? Check as many as you like. *

Flowers

Foliage / Leaves

Nature / Landscape

Famous Art / Fine Art Reproduction

Religious / Spirituality

Geometric Design / Ornamental Patterns

Other

How much artistic interpretation may I use? *

1 - None. Please do as close to this design as possible

2 - As little as possible, but open to slight changes.

3 - Some. I want my tattoo to be a mix of new and original detail.

4 - A lot! I am open to allowing changes to most of the design.

5 The most! Please make my design as original as possible.

What day(s) are you available? *

Select all that apply

Thursday

Friday

Saturday

Sunday