Tattoo Booking Form


Book an appointment for November of 2019!

I work at Powell Tattoos in Portland, OR and we are CASH ONLY!

Name *
City? *
Desired Appointment Date *
Desired Appointment Date
*I am OFF FRIDAYS and SATURDAYS! *OUT OF TOWN/PDX 10/1 - 10/10 & 11/13 - 11/19 !!!
Other days that work? *
I only work during the days listed
Time *
Shop Hours: Tues-Sat 12pm-8pm, Sun-Mon 12pm-6pm
Simple and to the point with room for creative freedom is best!
If so, please describe which one(s)
Please include right or left side
Please use inches
Budget does not include TIP! Please not I price by piece.
Is this your first tattoo? Are you traveling from out of town? Do you have any health/skin conditions you would like me to be aware of? Other?


Upon mutually agreeing on the appointment date provided, a $50 deposit is required to secure your appointment - which you can send through PayPal (Friends & Family option) or in-person at the shop.

After submission, I will respond back to you as soon as I am able. Submitting an application is not a guarantee that you will be tattooed. However, if I do not hear back from you accordingly after personally confirming through e-mail, the date desired may become unavailable. Deposits are required to hold a date once mutual confirmation has been established. All dates and flash designs are first come first serve.

Deposits are non-refundable. I will put it toward your newly rescheduled appointment f you are able to call/e-mail BEFORE the appointment (24hrs) and re-schedule. Your deposit counts toward the final cost of your tattoo as well! If you cannot make your appointment for ANY reason, please don’t be nervous... be courteous and give me a heads up!
If you do a no-call/no-show, your design will be up for grabs to the public and you will not get your deposit back.
If I have to reschedule you more than two times, I will ask for another deposit.

Designs: I am currently primarily interested in illustrative blackwork (please check out my instagram if you have not for a better idea of my style: @heavyblossom). I am now open to pops of color like pink and red!

I am able to do in-person consultations before booking if you wish/if I have time. I do not show sketches beforehand and will have a final design drawn up the day of your appointment. I am pretty flexible when it comes to adjusting elements in a design. However, I do work best with a loosely based idea that allows for more creative flexibility and artistic freedom! Trust! If I have to re-draw the initial design more than 2 times, I will charge an additional $25.

Please know that I strive to make my practice a safe space for LGBTQIA and (Q)POC and have zero tolerance for any hateful speech and/or ideologies.

Thank you!