Preferred Name *

First Name

Last Name

Phone *

(###)

###

####

Are you 18 or older? *

Yes

No

What tattoo fill are you interested in? *

Linework

Blackwork

Color

Not Sure

Is this an addition to an existing tattoo? *

Yes

No

Is this a rework or coverup? *

Yes

No

I agree to bring an unexpired state or government-issued photo ID to my appointment and understand I will not be provided service without one. *

Yes

I understand deposits are nonrefundable with no exceptions. I agree to provide a 24 hour cancellation notice if my appointment needs to be moved. I understand I will forfeit my deposit and any upcoming appointments if I do not give proper notice or do not show up to my appointment. *

Yes

I understand the FAQ on this website acts as terms of service. I have read through the FAQ and agree to the terms of service. *

Yes