*

First Name

Last Name

Availability (first option) *

Note that I am only available during weekends.

MM

DD

YYYY

Availability (second option) *

MM

DD

YYYY

Age *

I am an adult

I am a minor with parental consent

Health *

I do not have any health condition that prevents me from getting tattooed, such as diabetes, auto-immune disorders, pregnancy, cancer, etc.

Deposit *

I understand that a $50 deposit will be required to confirm booking, and that it is non-refundable upon cancellation within a 48h notice.