Name *

First Name

Last Name

Phone *

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Age Verification *

In order to submit a deposit you must be over 18-years of age. Minors are required to have their parent or legal guardian fill out this form and submit payment.

I am at least 18 years of age

I am a parent or legal guardian submitting this deposit for a minor

I understand that deposits are 100% non-refundable, and that all reschedules or cancellations must be made at least 24-hours before my appointment or I will lose my deposit. I also understand that if I am more than 30-minutes late to my appointment that I will be considered a 'no show' and forfeit my deposit. *

I agree

I understand that deposits not only reserve my slot on appointment day, but also insure that spot on my artist's calendar, as well as the time spent designing my tattoo, and that in some rare cases asking for larger design changes (at the artist's discretion) can result in the loss of my deposit. *

I agree

I am familiar with this artist's tattoo and design style, and acknowledge that while I can ask for smaller edits or tweaks to my design, asking for changes that require a large redraw (at the artists discretion), change the flow of the design, or deciding not to follow through with the project as drawn will result in the loss of my deposit. *

I agree

Health & Safety Policy *

I have read through and will abide by the Black Candle Tattoo Co. Health & Safety Policies. (Read the health and safety policies here.)

I agree

COVID-19 Vaccination Status *

All appointments are subject to a $10 health and sterilization fee per session. There is no vaccination requirement to get tattooed at our studio, however this information helps us prepare for your visit.

I am currently fully vaccinated, and plan to be at my appointment

I am not yet fully vaccinated, but plan to be by my appointment

I am not fully vaccinated, and do not plan to be by my appointment

I understand that I will be required to wear a mask while in studio, and that I will be upgraded to a KN95 mask upon my arrival to the studio. *

I agree