Tattoo Consultation Form

Client Details

Full Name: *

Date of Birth: *

Contact Number: *

Email: *

Please upload a clear image of proof-of-age documentation *

Are you currently taking any medications? *

Please list: *

Do you have any allergies? *

Please list: *

Tattoo Information

Please select the appropriate option: *

I just have some general questions and don’t have a specific design in mind yet I want to discuss a particular tattoo that I would like drawn/designed I just have simple changes to an existing design

Please give a brief description of the tattoo: *

Please upload any reference images:

We would like to see any images that have inspired this tattoo or can help convey what you want to get. We aren’t necessarily asking you to send an image of exactly what you want, we just need some examples that you feel convey any part of this tattoo so we can prepare for your appointment

Please upload any reference images:

We would like to see any images that have inspired this tattoo or can help convey what you want to get. We aren’t necessarily asking you to send an image of exactly what you want, we just need some examples that you feel convey any part of this tattoo so we can prepare for your appointment

Please upload any reference images:

We would like to see any images that have inspired this tattoo or can help convey what you want to get. We aren’t necessarily asking you to send an image of exactly what you want, we just need some examples that you feel convey any part of this tattoo so we can prepare for your appointment

Color choices: *

Please specify:

If you have a preferred artist please specify:

Any additional comments/notes:

By my electronic signature below, I acknowledge that I have read and fully understand this agreement and all the information detailed above. *

Tap or click on the signature above to sign

Appointment Guidance

If you have tested positive for COVID-19, or have any symptoms of COVID-19 (see below) please do not attend your appointment. Please contact us as soon as you know you will be unable to attend so we can reschedule.

COVID-19 Symptoms:

a high temperature or shivering (chills) – a high temperature means you feel hot to touch on your chest or back (you do not need to measure your temperature)
a new, continuous cough – this means coughing a lot for more than an hour, or 3 or more coughing episodes in 24 hours
a loss or change to your sense of smell or taste
shortness of breath
feeling tired or exhausted
an aching body
a headache
a sore throat
a blocked or runny nose
loss of appetite
diarrhoea
feeling sick or being sick