Name *

First Name

Last Name

Phone *

(###)

###

####

Birth Date *

MM

DD

YYYY

Tattoo in colour or black and grey? *

Select Blackwork if you want the tattoo done using exclusively black/grey ink. Select pops of colour if you want to use just one accent colour in the piece Select Full/Detailed Colour if you want multiple colours used in one or more sections of the tattoo. If these dont apply, select other and describe in the Tattoo Concept section

Blackwork

Pops of Colour

Full/Detailed Colour

Other

Please confirm the following:

Please check the following:

have reference images available upon artist's request

I am prepared to make a $100 deposit as soon as the appointment has been agreed upon

I am available to book on this month:

Check all that apply:

June

July

August

I am available to book on this day of the week:

Please confirm which of the following days you are comfortable booking for. Ketzia does not work weekends, please plan accordingly.

Tuesday

Wednesday

Thursday

Friday

Please let us know your masking preferences:

Masks are readily available in our studio. Our artists will remain masked based on their comfort.

I have no preference

I request my artist wear a mask for the duration of my appointment

I request the full studio be provided with masks for the duration of my appointment