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Custom Tattoo Request Form

Tell me a little about what you’d like to carry with you.


Share your idea and placement, choose a service, and select your preferred date and time. Your appointment is confirmed after review.

1. Contact Information

2. Your Tattoo

Share your idea, meaning or visual direction, and approximate size in inches. If you’re unsure about size, I can help.

References are used for inspiration only; another artist’s work will not be copied.

What best describes your design direction?
I have an idea and would like JINDHAMMA to create an original design.
I created the design myself.
Another artist created the design, and I have permission to use it.
I’m sharing reference or AI-generated images for JINDHAMMA to reinterpret.

Custom designs may be adjusted for placement, readability, and longevity.

Enter “None” if you’re open to minor adjustments.

Where would you like your tattoo placed?

Upload a clear photo of the area you’d like tattooed. This helps me evaluate placement, size, and body flow.

Requested Service

Custom tattoo size and pricing are confirmed after review.

3. Appointment Availability

Please select your preferred available date and start time.
Sep - Oct 2026
SunMonTueWedThuFriSat
Week starting Sunday, September 27
Time zone: Coordinated Universal Time (UTC)Business location
Wednesday, Sep 30
10:00 AM - 11:00 AM
11:00 AM - 12:00 PM
12:00 PM - 1:00 PM
1:00 PM - 2:00 PM

Please note: Session length varies by design and may be shorter or longer than the time shown. I’ll confirm your start time and estimated duration after reviewing your request.

Share any dates or times that work best for you. Subject to availability.

4. Health & Safety

Is there anything about your health, skin, medications, allergies, or healing history that could affect tattooing or aftercare?
No
Yes
I’m not sure

Examples include conditions or medications affecting bleeding, immunity, or healing; current illness or infection; skin irritation at the placement area; allergies or sensitivities; or a history of raised scars or keloids.

Are you currently pregnant or breastfeeding?
No
Yes

Tattoo services are not provided during pregnancy or breastfeeding.

5. Additional Information

Share any accessibility needs, previous tattoo experiences, or anything that may help me provide a safe and comfortable experience.

6. Confirmation

By submitting this form, I acknowledge that I have had access to the Privacy Policy and Consumer Health Data Privacy Policy.

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