Name
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First Name
Last Name
Preferred name
Preferred pronouns (if any)
New or existing client?
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New client
Existing Client
Email
*
Phone
*
(###)
###
####
Availability
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When are you normally available Monday-Sunday? Please bear in mind I cannot always accommodate specific dates or months and can't always accommodate a specific schedule but I do try.
If you are not available for some reason on a date that falls in the schedule you give me please let me know.
WEEKENDS GO QUICKLY and I do not work late. I CANNOT guarantee anyone that they will be given a weekend. You may have to request time off if you have a weekday 9-5 type schedule and my weekends have already been filled.
Example schedule: Available Sundays 2pm-7pm & Tuesdays 10am-5pm, out of town December 24-28, can request days off
New tattoo, coverup, touch up, or finish unfinished tattoo?
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Continue piece by Brenna Rose
Touch ups on work by Brenna Rose
Coverup/rework
New tattoo
Color, linework only, or black and grey?
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Color
Black and grey
Linework only
Tattoo placement
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Where would you like this tattoo to be placed or if it's an existing tattoo where is it located?
Tattoo size
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Please give an estimated size in inches of how big you'd like the tattoo to be.
Tattoo concept
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If it's an existing tattoo please still give a good description of the tattoo.
Do you have a gift certificate or a deposit on file?
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No, I do not have a gift certificate or a deposit on file
Yes, I have a gift certificate or a deposit on file
Deposit policy
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Please read through my deposit policy at brennarosetattoo.com/faq before completing this form.
I have read, understand, and agree to the deposit policy and am prepared to leave a deposit once a date as agreed upon.
Disclosure
*
My initial email almost always goes to people's spam/junk folder. PLEASE KEEP AN EYE ON THIS FOLDER. I cannot stress this enough.
Emails can also take me a few weeks to get through, please do not be alarmed if you do not receive one immediately. Thank you!
I will check my spam/junk folder
I will check my spam/junk folder
I will check my spam/junk folder
I will check my spam/junk folder
I will check my spam/junk folder
Allergies and/or medical conditions
Do you have any allergies or medical conditions I should know about? This includes things like allergies to latex, food allergies, or medical conditions like Diabetes or Lupus. These can affect products I use or your healing process.