Removal Request

First & Last Name *

Phone Number *

E-mail Address *

Age *

Location of Tattoo *
Where On Body

Tattoo Age *
Number Of Years

Tattoo Size *
Inches Please

Had Previous Removal Sessions? *
Yes or no?

Click To Upload Photos Of Your Tattoos

Deposits are non-refundable and require at least 24 hours' notice to cancel or reschedule without forfeiture.
For appointments booked within 24 hours, rescheduling is not permitted.

Request Removal