Your Name*

First NameLast Name

Pronouns:

Email*

example@example.com

Phone Number

Country CodeArea CodePhone Number

How did you hear about us?*

If Justina does not feel suitable for your idea, would you like us to check with our other artists who work in the style you are looking for?

NoYesOther

How big would you like this tattoo? (in inches please)*

Where on your body would you like this tattoo (be specific)*

Is this your first tattoo?*

YesNo

Do you have other tattoos, scars, stretch marks or large birth marks in the area you would like to be tattooed?*

YesNo

Please attach image(s) of the area on your body you would like to be tattooed:*

Browse Files

You would like this tattoo to be:*

In colourIn black and greyMostly black and grey with a little bit of colourOther

Do you have other tattoos the artist will need to work around in the area? Please attach photos if so.*

YesNo

Are any of the following present in or around the area you'd like to be tattooed?*

Clear photos of the existing tattoos you would like the artist to work around

Browse Files

If you would like any script in your tattoo, please find a font on www.dafont.com, list it below, and what the exact wording will be:

Brief description of your tattoo idea. *

0/300

Please attach reference images of what style you are looking for and any imagery to help describe your tattoo idea.*

Browse Files

By checking the box below, you confirm that you are 18 years +. You understand that Liquid Amber Tattoo & Art Collective will not tattoo anyone under 18, even with parental consent.*

Yes, I am 18 or older.

Please note, we will not tattoo anyone who is pregnant or nursing without the note from a physician.

Thanks for your interest in being tattooed by Justina!

Justina's Tattoo Request Form