Name
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First Name
Last Name
Email
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Phone
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(###)
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Tattoo design description, please be specific.
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Approximate size (in inches)
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Placement of tattoo (forearm, bicep, calf, foot, etc)
BUDGET
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Are you a returning client?
YES
NO
What days of the week work best?
Looking for a specific date? Please list below.
Which shop location are you interested in getting tattooed?
How did you hear about me?
I understand I will be required to submit a NON REFUNDABLE DEPOSIT of $100 to secure my appointment. Your deposit goes towards your tattoo.
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I am 18 years old or older **Please be sure to bring a photo ID to your appointment. Failure to do so will result in losing your deposit and appointment.
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FAQ’s • How do I book an appointment? Please fill out the tattoo request form in order to be considered for an appointment. Unfortunately, due to the amount of requests received, I cannot book everyone who submits a tattoo request. I usually pick tattoo ideas that I feel within my ability/interest. Please take a look at my tattoo portfolio to get an idea of the type of work I prefer to do. Please be prepared to pay a $100 deposit to book an appointment. Appointments are not guaranteed without a deposit and will not be held without it. • What are your rates? My rate is $200/hr. In order to give you a price quote on a custom design, please make sure you are as descriptive as possible with your tattoo request and include reference photos. * What type of payment do you accept? I accept cash or ATM/debit cards, all major credit cards such as Visa, MasterCard, Discover, and American Express. There is a 3% surcharge for using credit cards or debit cards. I also accept Apple Pay, Venmo, and Zelle. • How much is your deposit? A NON-REFUNDABLE PayPal or Venmo deposit of $100 is required to book an appointment. The deposit goes toward the final cost of your tattoo. For multi-session tattoos, the deposit will be held and taken off your last session. Deposits need to be sent as soon as a date/time is agreed upon to secure your appointment. Otherwise, you risk losing your slot. Deposits are non-transferable. I require 48 hours notice to reschedule. Only one reschedule is permitted. If you reschedule a second time, you will forfeit your deposit. Your deposit will be forfeited if: •You do not show up to your appointment •You cancel your appointment or reschedule without giving at least 48 hours notice. •You arrive more than 20 minutes late to your appointment. • You reschedule a second time, regardless of notice. • You arrive to your appointment without government-issued identification. Upon paying a deposit I acknowledge that I have communicated my tattoo design idea to the artist to my satisfaction, and have reviewed the artist’s prior works to decide that the artist can implement my idea to my satisfaction. I understand that creating a tattoo design based on a client’s concept is subjective, and that variations may exist between my concept and the finished design. If the finished design is not to my liking, minor changes can be made at the artist’s discretion. However, I understand that substantial changes to the design or the request of an entirely new drawing or draft will require a new deposit, and the original deposit will be forfeited as payment for the artist’s drawing time. • Where are you located? Elizabeth Street, Tattoo 3730 Elizabeth St, Riverside, CA 92506 Black Lantern 24302 Del Prado Ave. Dana Point, CA 92629