Name *

Please include preferred pronouns, if preferred

First Name

Last Name

What is the approximate size of this tattoo? *

Small, 1-3"

Medium, 4-6" (Hand sized)

Large, 7-12"

Are you a returning client? *

Yes

No

Are you traveling from far away? *

Yes, I would be driving from over an hour away

No, I am a Grand Rapids local (or driving under an hour)

Phone *

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