Tattoo Request Form

First Name *

Last Name *

Email *

Age *

Cell *

City *

State *

Have you contacted me before? *

Are you a returning client? *

Please describe the tattoo idea & body placement *

Please describe how you discovered my tattoo art

Ink Type *

Reference Photos and Body Area for tattoo placement

Desired Size of Tattoo *

Hourly rate is $200. Please estimate budget *

Tattoo Placement *

Preferred Time *

Ready to pay required tattoo deposit?

Best Availability

IMPORTANT - Tattoo art is not guaranteed by submitting a request form. Filling out a request form does not put you on a wait list. Requests are reviewed quarterly and approved based on idea creativity or openness to artistic freedom. I only email you back if I'm inviting you to make a reservation with a paid deposit. You are welcomed to resubmit a form each quarter if your project has not yet been selected.