Booking Request Form NAME * First Name Last Name Pronouns * He/ Him She/ Her They/ Them Other IF OTHER, PLEASE SPECIFY EMAIL * PHONE * (###) ### #### WHERE ARE YOU FROM? * INSTAGRAM USERNAME * HOW DID YOU COME ACROSS MY WORK? * Instagram TikTok YouTube Tattooed a friend/ family member Other WHAT DAY OF THE WEEK DO YOU PREFER TO SCHEDULE * Monday Tuesday Friday Saturday WHAT WOULD YOU LIKE TO DO? * I am inquiring about a new tattoo I want to finish my tattoo **For returning clients only** SELECT ONE * Black and Grey Color LOCATION OF TATTOO * Left Arm (inner bicep) Left Arm (outer bicep) Left Arm (inner forearm) Left Arm (outer forearm) Right Arm (inner bicep) Right Arm (outer bicep) Right Arm (inner forearm) Right Arm (outer forearm) Back (lower back) Back (upper back) Back (whole back) Chest/Boob Sternum Calf (left) Calf (right) Hand (left) Hand (right) Head Neck (back) Neck (front) Neck (left side) Neck (right side) Ribcage (left side) Ribcage (right side) Thigh (inner thigh) Thigh (outer thigh) Thigh (front) Thigh (back) Hip (left side) Hip (right side) Left Lower Leg (inner) Left Lower Leg (outer) Right Lower Leg (inner) Right Lower Leg (outer) Right Foot Left Foot Stomach Other IF OTHER, PLEASE SPECIFY WHICH OF THE FOLLOWING WOULD YOU LIKE TO BOOK? * HALF DAY (5 hours): $1000 FULL DAY (8 hours): $1,500 BACK TO BACK FULL DAY (16 hours): $3,000 FULL DESCRIPTION OF TATTOO * PLEASE, give a detailed description of what you're trying to get done. I want to know the theme/ vibe you're going for and how large scale you're looking to go. Larger/ fun concepts will be prioritized. TERMS & CONDITIONS: * *** TATTOO BOOKING TERMS OF AGREEMENT *** Please note that I ONLY work within my styles: - Fine Line Chicano Illustrations - Illustrative Black & Grey - Black & Grey Realism - Illustrative Color - Color Realism - Surrealism -Japanese/ American Traditional - Artist Choice *NO COVER UPS OR REWORKS* With that said, please have an open mind with your project. Freedom to create and compose yields the best tattoo possible, and that’s all I want to give my clients. I want to reiterate that I DO NOT copy tattoos, I create original pieces for all my clients. If you like my work on Instagram, then you’ll love what I create for you! DEPOSITS: • To reserve a date and time in my schedule, I require a $250 deposit per day scheduled, THE DEPOSIT IS NON-REFUNDABLE REGARDLESS OF THE AMOUNT OR CIRCUMSTANCES. • A deposit goes towards the overall cost of a single full day session, but that is subject to change if the terms of agreement are not followed. • No appointments will be finalized without a deposit. • Deposits can ONLY be put down via Venmo or Zelle. • Deposits are non-transferrable. The deposit belongs to the person who scheduled the appointment and cannot be transferred to another person. • If you change your initial idea from what was agreed upon when booking, your deposit will be terminated. • If more than 1 re-draw occurs, your deposit will be terminated. • If we terminate out business relationship, deposits remain nonrefundable regardless of any circumstances. • If you need to cancel or reschedule your appointment, I require A FULL WEEK NOTICE. If you do not give me at least A FULL WEEK NOTICE, your deposit will be canceled, and you will need to put down another $250 deposit to reschedule. • If you reschedule with enough notice, your deposit is only valid a year from the initial day that deposit was put down. (Ex: a deposit put down January 1st 2024 will expire January 1st 2025. • If you reschedule more than once, your deposit will be canceled, and you will need to put down another $250 deposit in order to reschedule. • If you no show or reschedule an appointment more than twice, our business relationship will be terminated and you will no longer be allowed to schedule an appointment. NO EXCEPTIONS Cash is preferred, but Venmo and Zelle are also accepted. I reserve the right to stop tattoos at safe points and schedule them for continuation session(s) when necessary. Additionally, I film content for various social media platforms, so by proceeding with the booking process, you agree to allow all photo, video, and audio recordings to be used for social media and marketing purposes. If ANY of the terms of agreement are not followed, your appointment will be cancelled, DEPOSITS ARE NON-REFUNDABLE NO EXCEPTIONS. Yes, I agree to the terms and conditions mentioned above Do I have permission to film you and your tattoo for social media (Instagram, TikTok, YouTube, etc...) * Yes, I agree to the terms and conditions mentioned above Thank you!