lily pokes tattoo
los angeles
home
july & august booking form
about lily pokes
policies
tattoo aftercare
lily pokes tattoo
los angeles
home
july & august booking form
about lily pokes
policies
tattoo aftercare
july & august booking form
July-Aug 2024 Booking
Guesting at Jelly in Koreatown!
Name
*
First Name
Last Name
Email
*
Phone
*
(###)
###
####
Preferred Pronouns
*
Date of Birth
*
MM
DD
YYYY
Are you vaccinated against COVID-19?
*
Yes
No
Is this your first tattoo?
*
Yes
No
Is there anything else you'd like me to know?
*
Flash Description/Number
Which design are you interested in?
*
Please list the flash # or describe in detail your custom idea
Where do you want the tattoo?
ie. forearm, ankle, shoulder, etc.
What size are you thinking?
*
ie. 3-5 inches
What is your budget?
*
Pricing depends on sizing and complexity. Customs start at $200. Small Tattoo (1-2in) is on average between $125-200 Medium Tattoo (3-5in) is on average between $200-400 Large Tattoo (5+ inches) is on average $400+
Scheduling
Select all dates that work for you:
*
7/21 (Sunday) - AM
7/21 (Sunday) - PM
7/22 (Monday) - AM
7/22 (Monday) - PM
7/29 (Monday) - AM
7/29 (Monday) - PM
7/30 (Tuesday) - AM
7/30 (Tuesday) - PM
8/3 (Saturday) - AM
8/3 (Saturday) - PM
8/10 (Saturday) - AM
8/10 (Saturday) - PM
8/17 (Saturday) - AM
8/17 (Saturday) - PM
Terms, Policies, & Agreements
I understand that my $50 deposit secures my appointment time and is non-refundable.
*
Yes
No
I agree to eat and stay hydrated before my tattoo session to help prevent light-headedness or passing out.
*
Yes
No
I agree that I could be subject to cancellation if I am 15+ minutes late and will be subject to a late fee of $20 for every 15 minutes I am late..
*
Yes
No
I agree to follow the aftercare instructions provided to me by the artist.
*
Yes
No
Thank you!