Name *

First Name

Last Name

Phone *

(###)

###

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Returning Client *

Yes, I am a returning customer.

No, I am a new customer.

Terms of agreement *

I am 18 years or older.

If I bring FAKE ID, I agree my appointment will be canceled + deposit forfeited.

To the best of my knowledge, I am not pregnant or experiencing signs of pregnancy.

I am not nursing.

No guests will be allowed during the session.

Tattoo Design *

Flash from @heeya.bubble

Modified Flash

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I will get back to you asap(✿ᴗ͈ˬᴗ͈)⁾⁾ 
Please allow up to three business days♡⸝⸝

xx, 
HEEYA