Booking Form

Full name

Email

Phone

Address

Describe your tattoo size & idea

Reference / Inspiration Images (Optional)

Placement area

Placement Photo (Used for size and placement evaluation only.)

Which option best reflects what you’re looking for?

J I (Simple · Minimal)

J II (Balanced · Flow)

J III (Signature · Refined)

Not sure yet — I’d like guidance

Allergies / Sensitivities

Please include reactions to adhesives such as second skin

Medications not listed above

Please list any medications you are currently taking

Additional Notes

Anything you’d like me to know before your appointment

I confirm that I am over 18 years of age and not pregnant or nursing.

I am not under the influence of drugs or alcohol.

I have no physical, mental, or medical conditions that would affect my ability to receive a tattoo safely.

I agree to follow all pre-procedure and aftercare instructions provided by the artist.

Before booking, please read the following pages: