Name * First Name Last Name Preferred Name Pronouns * She/Her They/Them He/Him Email * Instagram @ Phone * (###) ### #### Tattoo Description * Reference Photo UPLOAD Preferred Artist * Ochoa Israel Theodore Alex Tony Fryda No Preference Tattoo Ink Black & Grey Color Where are you located? Local Traveling Where are you traveling from? What's your availability? Flexible Specific If you have only specific availability for an appointment, please provide your particular range of available dates here: How did you hear about us? I have proof-read my submission Submission Complete!Thank you. We will be in touch with you soon! Tattoo Request Form