★ What name do you go by? *

If this is different than your legal name, that's ok :)

First Name

Last Name

★ Please confirm you are over 18 and have valid Photo ID for the appointment: *

Yes

★ Your cell phone number *

I’ll be responding to you via text :)

(###)

###

####

★ Have you been professionally tattooed before? *

No judgment. Just checking.

Yes, one or two times

Yes, more than twice

No, but I have self-applied / house tattoo(s) / stick and pokes

Nope, this will be my first time

★ LAST QUESTION: Slots are offered on a first-come, first-served basis in the order requests are received. If slots sell out before I get to your form, do you want to be added to a waiting list and/or receive a $40 voucher off regular price on this flash for a future appointment? *

Please pick ONE

Yes, add me to the waiting list, and send me the $40 voucher if no slots are vacated

I don't want to be added to the waiting list, but I'd still like the $40 voucher for a future appointment

It's now or never baby!! I don't want the waiting list or the voucher if slots sell out. :p