Tattoo Request FormPrice: $1200 - $1800Available placements: Back ($1800) or Thigh ($1200) Name * First Name Last Name Phone * (###) ### #### Email * What is your Instagram Username? * Help us put a face to the name! Birthday * MM DD YYYY Preferred Pronouns Is this your first tattoo? * Yes No 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 placement of the tattoo you are looking to get ? * Are you looking for a ritualized tattoo experience? * Yes No I'm not sure Thank you!