Name *

First Name

Last Name

Date of Birth *

Must be 18 years or older (Under 18 must be accompanied by parent/guardian with valid ID)

MM

DD

YYYY

Phone *

(###)

###

####

Pref. Contact method *

Email

Call

Text

Does this area have existing tattoos? *

Yes

No

Pref. Date *

Conventions Hours Friday 2pm-11pm Saturday 11am-11pm Sunday 11am-8pm Please select day that is best for you Time slots are limited and depending on size of tattoo, time of appointment will be set once inquiry is accepted.

Friday 4/14

Saturday 4/15

Sunday 4/16

Avail. Any day

Are you willing to take part in a video?

Instagram Reel/ TikTok/ YouTube

Yes

No