Matthew O'Brien - Tattoo Artist @ Firehouse Tattoo

Have you received the Covid-19 Vaccine? *

Your Phone Number: (please use cell if possible, we send text confirmations) *

TO REQUEST AN APPOINTMENT w/ MATT,
FILL OUT THE REQUEST FORM BELOW:

Please upload photo of YOUR OWN Drivers License ** YOU MAY NOT BOOK AN APPOINTMENT FOR ANOTHER PERSON ** *

PHOTO OF DRIVERS LICENSE AS WELL AS ALL OTHER REQUIRED FIELDS MARKED WITH A RED *MUST BE ATTACHED, OR FORM WILL NOT SUBMIT PROPERLY FOR TATTOO REQUEST.

*Coverups - Please attach a photo of what you CURRENTLY have and want to cover

Your First and Last Name: *request for tattoo artist MATTHEW* *

^ type of phone number listed above ^

cell phone (can accept text messages)

house line (can not accept texts)

Give us a brief description of the tattoo you'd like: (and no, a full sleeve cannot be done in one day) *

Please provide us with a 2nd reference photo (if needed) for your tattoo:

In the last 72 hours, have you had any of the following symptoms: fever or chills; cough; shortness of breath or any difficulty breathing; fatigue; muscle or body aches; headache; new loss of taste or smell; sore throat; congestion or runny nose; nausea or vomiting? *

YES

Have you been in the company of/had exposure to anyone with suspected/confirmed COVID-19 within the last 14 days? *

YES

Tattoo Artist: Matthew O'Brien

Location on Body for Tattoo: *

Once you enter our building for your appointment, do you consent to having your temperature checked as well as consent to arrive to our facility wearing a face mask (fyi: the mask must cover your nose and mouth) as recommended by the CDC? We will also be asking that you maintain a 6ft distance from any other clients when inside of the building and you may be requested to use hand sanitizer or wash your hands in the restroom. *

Matthew completed his apprenticeship under the guidance of Joseph C Letizia at South Vineland's Firehouse Tattoo

Your Email Address: *

Please provide us with a reference photo of the tattoo you are looking to get:

Are you requesting a COVER-UP* tattoo? *

Did anyone refer you to us? Who was it? (tell them thank you! :-)

Your Date of Birth (NO MINORS): *

SEE MORE PHOTOS HERE IN MATT'S FACEBOOK GALLERY/PORTFOLIO

Tattoo Artist:Matthew O'Brien