Name *

First Name

Last Name

Placement

Where do you want your tattoo to be placed? Be specific. Please check all the boxes that apply to your tattoo

Full leg sleeve

Half leg sleeve

Full arm sleeve

Half arm sleeve

Inside

Outside

Both sides

Full back

Is this a Coverup?

There is no guarantee a tattoo or scar tissue can be covered, so every coverup will be evaluated individually. Please note surgical scars must be healed at least 1-3 years, Lasered areas must be healed at least 6 months and tattoos must be healed at least 1-3 months before the artist would tattoo over them.

No

Scar (healed less than 1yr)

Scar (healed 1-3yrs )

Scar (healed 3+yrs)

Tattoo (healed less than 1yr )

Tattoo (healed 1+yrs)

Birth Mark