Tattoo Booking Form


Book an appointment for a tattoo in October or 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
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 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.

Deposits are non-refundable. I will only make an exception due to emergency or if you are able to call/e-mail BEFORE the appointment (24hrs) and re-schedule (which will be put toward your re-scheduled appointment). 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 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 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!