Name

First Name

Last Name

Phone

(###)

###

####

Email

Birthday

Must be 18+

MM

DD

YYYY

Previous Client?

First Tattoo?

Type of Tattoo

Flash

Custom Design

If choosing flash- please specify any designs/themes you'd like

If custom design- please describe your idea:

Approximate size and placement

Scheduling preferences, if any? (i.e. Weekends only, weekdays after 3pm, etc...)

I currently work Wednesdays-Saturday at Redemption Tattoo, Cambridge MA

Boston