Client intake form


Hi thanks for your interest in getting a stunning tattoo by Your’s truly

PLEASE NOTE: 1 form =1 tattoo – this form is for 1 tattoo/ 1 person only- if you have multiple tattoos or looking to book for more than yourself, each person/tattoo will be required to fill out an additional form.

as of 2022 all recipients getting a tattoo by me will be required to be 18+ 
(sorry no longer offering my services to anyone under 18 even with parental consent)

hands and/or feet are also not being done at this time.

RATES: as of Jan 2022 all NEW Tattoo Projects =Hourly Rate is $180 per hour

All tattoos 1 hour or less = $180 plus tax– – all prices subject to taxes. 

payments accepted:

Cash – preferred

Debit/Credit machine also available – e-transfer is only for booking deposit.

Currently i am booking 3-4 months from now. 

ALL appointments require a non-refundable BOOKING FEE ($75 per session) 

to be sent via INSTRUCTIONS PROVIDED ONCE BOOKING IS MADE this will be deducted from tattoo cost once completed AT YOUR FINAL APPOINTMENT.

I will respond to this form via e-mail and will give a estimated quote. 
If your looking to book a booking fee of $50.00 per apt booked is required to book any appointment. Directions for e-tranfer will be sent via email once apt is confirmed and booked.
Appointments are booked by the hour and a min/max is given as a estimate for your approximate time required for the requested tattoo, should you change your design the minimum time can not be changed after you have your confirmation booking has been made.

To ensure our clients respect our artist’s time and efforts, we require a non-refundable deposit to confirm your appointment. After your tattoo is done, this booking fee is deducted from your tattoo’s final price.
We allow only one reschedule per project with min 5-7 days notice

Phone consultation/email I am not doing in person consultations currently however should you wish to meet with me privately we can arrange a time at this over the phone meeting. 

Once I receive this form I will contact you via phone or email to discuss the tattoo further and we can discuss going forward at that time. 
Please allow a few days (mine are Tuesday-Saturday) to respond to this request as i am only able to call when i have time between clients i am usually tattooing 10-6 each day. Thank you Christine

Please note: due to copywrite laws etc. I do not copy or replicate tattoo designs you are submitting as reference. I will only recreate my own artwork to use for your tattoo purposes. 
if your looking for an exact replication of a tattoo you found online I will NOT do it. 
I also don’t do fingers or hand tattoos or face tattoos. This is against my policy.



If this form wont submit, its usually your photos you took are too large.

please remove the photos of yourself and try to submit- and if i need the images i will ask during our phone conversation.