Tattoo Request Form Name * First Name Last Name Phone * (###) ### #### Email * Birthday * MM DD YYYY Preferred Pronouns Is this your first tattoo? * Yes No Which type/ style of tattoo are you wanting? * Black and Gray Color Line Work Do you have any tattoos around the area you are wanting to get tattooed? * Yes No Do you have any scars, or stretch marks on/around the area that you want to have tattooed? * Yes No What is the approximate size in inches of the tattoo you are looking to get ? * What is the placement of the tattoo you are looking to get ? * What is your budget ? * Please link any reference images you have here Please describe the design you have in mind * Are you looking for a ritualized tattoo experience? * Yes No I'm not sure Thank you!