Name *

First Name

Last Name

Phone *

(###)

###

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Will this be your first tattoo? *

Yes

No

Are you over 18 years of age? *

Parent & guardian permissions are not accepted, you must be 18+

Yes

No

Have you been tattooed by me before? *

Yes

No

Color or black & grey? *

(I love doing both!)

Color

Black & Grey