Booking Request Form NAME * First Name Last Name Pronouns * He/ Him She/ Her They/ Them Other IF OTHER, PLEASE SPECIFY EMAIL * PHONE * (###) ### #### HOW DID YOU COME ACROSS MY WORK? * Instagram TikTok YouTube Recommended by a friend/ family member WHICH LOCATION WOULD YOU LIKE TO GET TATTOOED AT? * Los Angeles, CA Manteca, CA Chicago Colorado Hawaii Las Vegas New York Texas Other LOCATION ON THE BODY * 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 WHAT DAY OF THE WEEK DO YOU PREFER TO SCHEDULE? * Monday Tuesday Wednesday Thursday Friday Saturday 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): $2,500 IF OTHER, PLEASE SPECIFY FULL DESCRIPTION OF TATTOO * PLEASE, give a detailed description of what you are looking to get tattooed. DEPOSIT POLICY: * •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 appointment will be finalized without a deposit. •Deposits can ONLY be put down via Zelle, Apple Pay, and Venmo •If more than 1 re-draw occurs, your deposit will be terminated. •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 2025 will expire January 1st 2026. •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 •If we terminate out business relationship, deposits remain nonrefundable regardless of any circumstances. 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 read through and 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!