Your Name (Required): *
Birthdate:(Required; must be +18 years old to get tattooed.) *
Preferred Pronouns
Please Select One
he/him
she/her
they/them
Phone Number *
Location:(City,State,Country)
Email Address *
Confirm Email Address: *
May we send you email updates?
Yes
No
Are there any specific days of the week/month or times that particularly work best for you to schedule appointments? (Please keep in mind, we are closed on Sundays and Mondays, and Saturdays are typically much farther booked out, as they tend to be most people's availability).*
How did you hear about us?
Please Select One
Google
Facebook
Loose Screw Instagram
Artist Instagram
Word of Mouth
Return
Richmond Tattoo Arts Festival
Other Conventions
Other
If you selected "Other", please specify:
Color or Black/Grey?:
Color
Black/Grey
Tattoo Placement: (Arm, Leg, Neck, Face, etc.)
How big do you want your tattoo to be? (Either in inches or standard tattoo sizes: Sleeve, Half Sleeve, 3/4 Sleeve, etc) :
Are you willing to get tattooed monthly until this project is complete? (Depending on the size and complexity of the tattoo, multiple sessions may be necessary.)
Yes
No
What is your budget for the entire project?
$200-$600 (Walk-in / 1-3 Hours)
$600-$1,400 (Small Project / 3-7 Hours)
$1,4000-$3,200 (Medium Project / 7-16 Hours)
$3,200+ (Large Project / 16+ Hours)
Brief Description: (We will request reference photos after receiving this form.)
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