Name * First Name Last Name Email * Phone (###) ### #### Tattoo Concept * Size * Location on the body * Are you looking for line work, shading, or color? * I mainly work in an illustrative black and grey style, but I bend the rules on occasion. Do you have other tattoos in this location? * yes no Preferred days of the week * Are you a new or returning client? new client returning client Are you 18 years of age or older? * yes no I have read the consent information * (click the 'Consent Form' link to the right to read the consent information page) yes After you send this form off PLEASE keep an eye on your SPAM folder. Sometimes my responses get lost in spam. I always respond within 48 hours. I understand Thank you! Please check your spam folder for my response email.You will receive an emailed response within the next 48 hours. Tattoo Request Form Consent Form