Name * First Name Last Name Email * Phone * (###) ### #### Which do you prefer? * Email Text Date of Birth * MM DD YYYY Gender * Male Female Days Available * What days works best Sunday Monday Tuesday Wednesday Thursday Friday Saturday Have you been tattooed before? * Yes No Yes, with Kuaikz Is this a cover up/rework? * Yes No Traveling from off-island/out of state? * Yes No Arrival MM DD YYYY Departure MM DD YYYY Budget * Under $500 $500 - $1000 $1000 - $2000 $2000 + Tattoo Idea / Concept * Please describe your tattoo idea. Placement, size, style Please note if this tattoo is a rework or cover up. Terms and Conditions * I understand deposits are NON-REFUNDABLE. This is not an extra fee, deposit will be applied towards the total cost of the tattoo. In the case of rescheduling, a request must be made via email within a week prior to set appointment. Failure to do so will forfeit deposits. Thank you for inquiring we will contact you within the next 48 hours.