Tattoo Booking Request Form

Damien Alejandro Medellin
Fine Art & Custom Tattoos

To contact Damien regarding a consultation or booking a tattoo appointment please fill out the
contact form below. You will receive an Auto-Response with more information. If you wish to
move forward with booking an appointment with Damien you will have to Read and Reply to the
Auto-Response as an acceptance of terms and conditions. Please allow 3 - 5 business days for
an official response from me.

Download FAQ Sheet.

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Placement on Your Body? *

Upload Photo Of The Area On Your Body You Want Tattooed

Reference Photo (if any)

Color or Black/Grey *

Tattoo Description/Concept *

Is this a Cover Up? *

I confirm I am 18 years of age or older *

Yes

No

Days of Availability *

How were you referred? *