Book an Appointment

Book your appointment by filling out the form below

This form is best filled out on your computer, if you’re having any issues or difficulties submitting your request please contact me.

I am above the age of 18

You must be at least 18 years of age regardless of parental consent to get a tattoo by me.

Yes (I am above the age of 18)

Name

First Name

Last Name

Phone

(###)

###

####

Please make sure your email address is spelled correctly

Your Instagram (Optional)

Optional - Please provide your instagram handle. I may send you a direct message notifying you that I responded to your appointment request incase my email response ended up in your spam/Junk folder.

Where are you traveling from?

Which state are you traveling from? Are you local?

Is this your first tattoo?

Do you have any pre-existing tattoos in the area you're considering to get tattooed?

This is important for me to know how to flow your tattoo.

Is this your first tattoo from me?

Please let me know if you have gotten tattoos from me before.

Height

Please include your height in feet & inches (Please be as accurate as you can as you will be quoted accordingly)

Dates Available

I will try my best to accommodate your schedule

Please tell me your tattoo idea, Please keep the description short/brief and to the point

Example: Black & grey peonies and roses on my left thigh and under my right Brest as a two piece set.

Approximate size (inches) & body placement (Left side? Right Side? Please be specific

Example: Approximately 12 inches half sleeve from my shoulder to my elbow on my left arm.

Please attach a CLEAR CURRENT photo of your body from a distance (Do not send angle shots, crop photos, blurry hard to read photos) & circle the area you desire the tattoo so that I can understand your desired placement, area, size and flow. Please be very accurate in terms of size and placement as you will be quoted accordingly. (Please wait 10 seconds for your file to finish uploading/ upload complete when green file appears)

FileField; MaxSize=10000; Multiple; addText=Upload_Your_Reference_Image

Please attach photo references of the flowers or references of my floral work to show what you are envisioning (If you do not know what flowers, attach photos of his work that you like). (Please wait 10 seconds for your file to finish uploading/ upload complete when green file appears)

FileField; MaxSize=10000; Multiple; addText=Upload_Flowers/_Tattoo _References

Book an Appointment

The Secret Bloom Studio

Hours