Name *

First Name

Last Name

Are you at least 18 years of age (no exceptions) *

Yes

Phone *

(###)

###

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Is this your first tattoo? *

Yes.

No.

Color or black and gray? *

Black and Gray.

Color.

Line work. (no color, no shading)

I would like to discuss with my artist.

Are you sensitive to fragrances? *

Yes.

No.

Days that work best for you.

Monday.

Tuesday.

Wednesday.

Thursday.

Friday.

Saturday.

Sunday.

Do you pinky promise to check your spam folder? *

Yes