Name *

First Name

Last Name

Phone *

(###)

###

####

What services are you interested in? *

Tattoo appointment (deposit required)

In-person Consultation appointment

Video Consultation appointment via Instagram

Touch-up (free for up to 6 months after your appointment)

Availability *

Please check every time slot that typically works for your schedule. **I am currently working on a condensed tattoo schedule so my availability is limited for the time being** I work Tuesday-Thursday (9am-12pm) Friday (2-5pm) and Saturdays (10am-4pm)

I AM FLEXIBLE AND COMPLETELY OPEN

Tuesdays (9am-12pm)

Wednesdays (9am-12pm)

Thursdays (9am-12pm)

Friday (2pm-5pm)

Saturdays (10am-4pm)

I am looking for a specific date and will specify below

Please check the following box to state that you have: *

I am 18+ years old, I have read and understood the policy page (linked in red at the top of this page), have filled out this form with all correct information, understand that Alex cannot accommodate all ideas/types of tattoos and may reject my idea or recommend another artist to me.