Astrology & Tattoo Intake Form Please fill out your info below and we will be in touch shortly! Name * First Name Last Name Email * Phone * (###) ### #### Birth Date * MM DD YYYY Birth Time * If you're unsure of your birth time enter what you think it might be or 12:00pm and describe in the note field below how confident or uncertain you are Hour Minute Second AM PM Birth Time Accuracy * The accuracy of your birth time affects the precision of your reading. Please describe how confident you are in regards to your time of birth Place of Birth (Including City, Province or State and Country) * Describe your tattoo idea * No worries if you are unsure, we can discuss ideas at your consult Additional notes * How did you hear of us? Instagram TikTok A friend Google Other Thank you!
