Name *

First Name

Last Name

Phone *

(###)

###

####

Request *

Tattoo

Piercing

Preferred Tattoo Artist

Tim Davis

Jane Henry

Avery Grae

Ari

Alex Emling

Other

Checkbox *

Is this a coverup?

Yes

No

Preferred Availability *

When are you free to schedule sessions?

Weekdays

Weekends (Remember that weekends are usually booked out week or more in advance)

Time preferred

What time of day do you prefer to schedule your session?

AM

PM