Sabrina Spellman - Tattoo Artist @ Firehouse Tattoo

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

Your Date of Birth (NO MINORS): *

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

Are you requesting a COVER-UP* tattoo? *

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

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

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

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. *

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? Have you been around anyone in the last 12 days that has tested positive for Covid-19? *

YES

NO

Your Email Address: *

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

^ type of phone number listed above ^

cell phone (can accept text messages)

house line (can not accept texts)

What days/times will work best for us to get you scheduled? (This does not mean you have an appt booked yet, wait for the artist to e-mail or call you and get a date locked in and scheduled)

ANYTIME!!

Tuesday 11-3

Tuesday 4-7

Thursday 11-3

Thursday 4-7

Saturday 12-3

Saturday 3-6

Please upload photo of YOUR OWN Drivers License ** DO NOT BOOK APPOINTMENT FOR ANOTHER PERSON ** *

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