Name *

First Name

Last Name

Are you at least 18 years old? *

Yes

No

Phone

(###)

###

####

What kind of piece are you looking to get?

Custom

Flash

Is this your first tattoo?

Yes

No

Do you have any allergies or medical conditions that affect your ability to get a tattoo?

Yes

No

Unsure

What type of appointment would you like?

Silent/headphones in

Conversation/social

No preference