Emily's Tattoo Request Form

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Let's get some information from you!

Email *

First and Last Name *

Best Contact Phone Number *

What are your preferred pronouns?

Are you currently, at this moment in time, 18 years old or older with valid photo ID? If your answer is NO, you are unable to be tattooed at Gypsy Tattoo Parlor as we have a strict 18+ policy. If you are turning 18 soon, please indicate your birthday so we know when we can offer you a date. *

Emily works Tuesdays, Thursdays, and Fridays from 10am - 3pm.
What days and times are you generally available to come in?
*

Is this your first tattoo? *

Yes

What is your tattoo idea? Feel free to add links to example images if possible. If you are interested in FLASH ART, please indicate the file name. Files that have multiple designs, please describe which item you want. Thanks! *

Please provide a rough size estimate (in inches). *

Where on your body do you want this placed? *

Any questions/comments/concerns/feedback?
Anything else we should know? If you are looking to book an appointment with another person, please indicate their name and email and make sure they also fill out a form.

Send me a copy of my responses.

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