Legal Name *

The name on your legal documents.

First Name

Last Name

Phone *

(###)

###

####

When did you receive this tattoo? *

MM

DD

YYYY

Which day of the week works best for you? *

I will provide you with available dates that correspond with this day in the email response.

Wednesday

Thursday

Which time slot works best for you on this day? *

11am

11:30am

12pm

12:30pm

1pm

1:30pm

2pm

5pm

5:30pm

6pm

6:30pm

Touch Up Agreement *

I understand that my tattoo may not need a Touch-Up, and that determination of such is at the artist's discretion. Touch-Up determination depends on the photo(s) provided above and whether proper adherence to the aftercare instructions were practiced.

Touch Up Agreement Cont'd *

I understand that only tattoos done by Naomi within the last 6 months (from today's date) can receive a Complimentary Touch Up, and that fine line tattoos, micro tattoos and tattoos on the hand/fingers/elbow/foot/face/neck are excluded from this service.

Touch Up Agreement Cont'd II *

I understand that prices vary for Touch Ups done after the 6 month period.

No-Show and Last-Minute Reschedule Agreement *

I understand that failure to arrive to my appointment, and any cancellation or rescheduling done after the 72 hour deadline will void the complimentary touch-up.

Service Agreement *

I have read and agree to all the terms and conditions presented in Naomi's Service Agreement.