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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

Full name

Phone

2. Your Tattoo

Tell me about your tattoo and its approximate size.

Share your idea, any symbols or visual direction you’re drawn to, and the approximate width × height in inches (for example, 2 × 3 inches). You’re welcome to include any meaning or story behind it. If you’re unsure about the size, I can help guide you.

Reference or Inspiration Images (Optional)

Your reference image will be used for inspiration only. Another artist’s work will not be copied directly.

What best describes your design direction?

I’d like a JINDHAMMA flash design.

I have an idea and would like JINDHAMMA to create an original design.

I created the design myself.

Another artist created the design for me, and I have permission to have it tattooed.

I am sharing reference or AI-generated images and would like JINDHAMMA to reinterpret them.

Minor adjustments may be necessary to improve placement, readability, and how the tattoo ages over time.

Are there any elements of your design that you would like to keep unchanged?

Enter “None” if you are open to minor adjustments.

Placement Area

Please describe where you would like the tattoo placed.

Placement Photo

Please upload a clear photo of the area you would like tattooed. This helps me evaluate placement, size, and body flow.

Requested Service

Sizes are approximate. The best option depends on your design’s detail and placement. I’ll confirm the size and price after reviewing your request.

3. Appointment Availability

Please select your preferred available date and time.

September 2026

Week starting Sunday, September 20

Time zone: Coordinated Universal Time (UTC)Business location

Saturday, Sep 26

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: Please select your preferred start time. Session length varies depending on the design and individual, and may be shorter or longer than the time shown. I’ll confirm your appointment time and estimated duration after reviewing your design. Please arrive at your confirmed start time.

Additional Date or Time Preferences (Optional)

Please list any specific dates or times that work best for you. Availability is not guaranteed.

4. Health and Safety

Is there anything about your health, skin, medications, allergies, current illness, or healing or scarring history that could affect tattooing or aftercare?

Yes

I’m not sure

Examples include a condition or medication affecting bleeding, immunity, or healing; antibiotics; an active illness or infection; irritated or affected skin at the placement area; adhesive, latex, nickel, pigment, or skincare sensitivities; or a history of raised scars or keloids.

Are you currently pregnant or breastfeeding?

Yes

JINDHAMMA does not provide tattoo services during pregnancy or breastfeeding.

5. Additional Information

Is there anything else you would like me to know? (Optional)

You may share accessibility needs, previous tattoo experiences, a tendency to feel faint, or anything that may help me provide a safe and comfortable experience.

6. Confirmation

I confirm that I am at least 18 years old and understand that a valid, unexpired government-issued photo ID is required before tattooing.

I have reviewed the Preparation and Aftercare instructions.

I have read and agree to the Studio Policies and Terms of Use.

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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