Name *

First Name

Last Name

Phone *

(###)

###

####

Please select the days that work best for you *

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Doesn't matter

Have I tattooed you before? *

Yes

No

I understand that appointments are not first come first serve. *

Yes

I understand that I will be required to leave a $100, non-refundable deposit in order to schedule an appointment *

Yes

I understand that canceling or rescheduling the day of the appointment will cause me to forfeit my deposit. This includes no call/no shows *

If I need to cancel our appointment, your deposit will be refunded.

Yes