Legal Name *

First Name

Last Name

Preferred Name

First Name

Last Name

Phone Number *

(###)

###

####

Birthdate *

MM

DD

YYYY

Is this a cover up or rework? *

Cover Up

Rework

Are you deposit ready? *

Yes

No

Do you understand that coverups are often limited in what will work and require an open mind and a great deal of trust to your artist? *

I cannot guarantee that the idea you have will work with your existing tattoo. Please know that if I tell you something will not work, it is purely out of wanting you to walk away with the best tattoo possible.

Yes

No

Have you reviewed our coverup information page?

Yes. I have read through the necessary information.

No. I will read through the necessary information before moving forward.

Have you reviewed our shop policy tab?

Yes. I have reviewed and agree to all deposit, design, and general shop policies.

No. I have not reviewed shop policies and acknowledge that it is my responsibility to do so before booking.