Name *

First Name

Last Name

Preferred Pronouns

If your pronoun is not listed, please inform me in the email conversation

He/Him

She/Her

They/Them

Phone

(###)

###

####

What days are you available to be tattooed?

I am available for tattoos Tuesday-Saturday, but can sometimes make my off days work.

Tuesdays

Wednesdays

Thursdays

Fridays

Saturdays

Do you have a reference photo? *

References greatly help me get an idea of what you want to get.

Yes

No

Is this a coverup of a previous tattoo/scar? *

Yes

No

Are you over the age of 18? *

If not, the youngest I will tattoo is 16, NO EXCEPTIONS! Your parent/legal guardian will need to be present to sign for you with the proper paperwork.

Yes

No

Is this a touch up of a previous tattoo done by me? *

I offer FREE touch ups on all of my tattoos within a year of when you originally got it done.

Yes

No

I understand that a deposit is REQUIRED to book an appointment *

Please note that deposits are NON refundable, please refer back to FAQs for more information

Yes I understand