Custom Request Form

with Dom Barbeau Tattoos

I am 18 years of age or older

I accept I must leave a 100$ deposit to book in a tattoo and it is non-refundable.

First name

Last name

Email

Tattoo Description

Size in inches

Tattoo placement

Select all that apply

First Tattoo

Working around existing pieces

Cover Up

Colour Scheme

Blackwork

Colour

Reference image

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Choose a file or drag and drop one here.

Add up to 3 images.