I'm located in Fountain Valley, CA at Reflection Tattoo. Refer to the address listed in my Instagram bio for directions.

Submit the following form with your idea. I'll reply using the email you provide below.

If you have any questions DM me on Instagram

Are you a returning client? *

Name *

Preferred Pronouns

Instagram Handle

Email *

I'll respond to the the email provided. Please make sure there are no typos.

Design *

Size * To receive an estimate I'll need to know exactly how large you'd like your design. If necessary I'll require a consultation for further measurements.

Placement *

Are you interested in color? *

Yes
No
Not sure

What colors?

Do you have reference photos? *

I will ask you to provide any references through email. Have them ready!

Are you looking for my style *

Yes! Take my idea and make it yours
I think so
I’d like it to be closer to my reference

Any other details I should know about?

Availability (I tend to work between 11am and 7pm) - Select all that apply. *

Tuesday
Wednesday
Friday
Saturday

Do you already have a tattoo? If so, how many? *

How long was your longest tattoo session? *

What's your estimated pain tolerance? *

5 stars 4 stars 3 stars 2 stars 1 star

1 Star (Low) - 5 Stars (High)

When are you looking to book? *

ASAP, I’ll take your next available appointment
2-3 weeks out
1 month out
2 months out
More than 2 months out

Please only pick one

Do you have a budget? *

I’ll try my best to work with it or find a middle ground

Thanks for reaching out!

I appreciate you inquiring work from me. Please allow up to 5 days for me to reply, I'll contact you through your provided email address. If you have any further questions feel free to contact me through my Instagram.

Have a great day!

Please note: Not all inquires will be approved. Factors may include availability, style, subject, or placement.

Thanks for reaching out!

Have a great day!