PLEASE NOTE: Fill out this form in a browser, not through the Instagram app.
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Forms will not submit properly if sent while still in Instagram.
Legal name
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First Name
Last Name
Preferred name and pronouns
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Are you at least 18 years old?
Yes
No
Is this your first time getting a tattoo?
Yes
No
Phone number
*
(###)
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Describe in detail the requested design
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Include as much information as you would like. For custom, cover-up, and freehand requests, please share the elements that you would like included in your design (e.g. monstera with crawling aerial roots, peonies with stem included and a monarch butterfly, etc.).
Size
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Color or black & grey?
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Links to reference photos and inspiration
Use the field below to paste URLs for content you'd like me to consider. Instagram links, Tiktoks, Pinterest, Google Drive links, etc.
Required for custom and cover-up requests.
Anything else you would like me to know?
General Availability
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I take clients Wednesday through Sunday, and am flexible on times.
I offer optional reduced rates to BIPOC clients. If you identify, are you interested in using this policy?
Yes
No