Flash Request Form

Please fill out and submit this form if you wish to book a flash piece. — All designs are repeatable until they retire

*Flash can be found below the form. Please indicate on form any adjustments you would like.

Name

First Name

Last Name

Pronouns

Phone

(###)

###

####

Which piece(s) are you interested in?

Each piece is numbered below.

Twinkles Sheet

Size?

In inches — or compare to toonie, credit card, playing card or juice box if you do not have a ruler.

Placement(s)?

I do not tattoo: inner lip, genitals, palm, armpit. And I only take a limited amount of inner bicep, behind the ear and rib placements, so please give options if possible.

Do you have a budget?

I am also open to some bartering and skill share for services especially: acupuncture, hair colouring/highlighting, massage, nails, tarot etc!

Is this your first tattoo?

Extra info I should know?

Adjustments to design? Allergies? Accessibility needs? Availability? Anything!

Disclaimer

*I understand that filling out this request form does not guarantee my appointment until I have consulted the tattooist (Pokey Rae) and I have paid my deposit. I understand that handpoked tattoos are permanent and need to be cared for and maintained. I have read and accept the terms set regarding deposit and cancellation policies. I certify that I am or will be 18 years old or older by the time of my appointment.

I Agree