Online Consultation Form

Online Consultation Form
Name *

First Name Last Name
E-mail *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
I promise to have fun!

YES!
I recognize that this form is essential for my knowledge and designed for me to have an understanding of the process, as all artists work differently, which is part of our charm.

yes
Please give a brief description how you heard about the studio: *
Is this your first tattoo? *

yes no
I am 18 years of age or older with government issued identification *

yes
Brief description of the vision you have for your tattoo: *
I understand there is a 3 hour minimum for all tattoo projects at $200 an hour. *

yes no
I understand there are options for 3 or 5 hours of tattooing only for large scale projects.

yes no
I understand the studio accepts cash or credit card only. I understand there is a fee attached when I pay with a credit card. *

yes no
CONSULTATION INFO & DEPOSIT: -Upon submission of this form you will receive an immediate email response with information regarding the next steps to take for the tattoo consultation. -I understand this may be set up in person or via zoom. -The consultation fee is a non-refundable deposit of $100. -This goes towards time, energy and research for your project, making sure all avenues are covered, and that any questions you may have are answered during this time. *

Yes. By checking this box I understand and accept the process of self booking a consultation and making a deposit.
I understand when I book a 3 or 5 hour tattoo appointment, I am required to make a deposit. I understand the deposit made comes off the day of the appointment.

yes no
-I understand once my project is started, that all booking is done online. Once my appointments are booked, I can reschedule or cancel at my convenience through the confirmation email, as long as it is before the 24 hour mark prior to the appointment day. -I understand that if I cancel or reschedule after the 24 hour window, the deposit is forfeit and I am required to make another deposit to schedule.

yes no
I understand not to park in The Teller House parking lot next to the building. ( Formerly known as The Lancaster Trophy House )

yes no
Upon submission, you will receive an immediate email response with my next available dates for consultations. Looking forward to creating with you!

Thank you!
Should be Empty:

Now create your own JotForm - It's free! Create your own JotForm