Name *

First Name

Last Name

Phone *

(###)

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Reference Images *

PLEASE SEND ALL IMAGES TO RAYCORSONTATTOO@GMAIL.COM Reference images can be images of art, tattoos, photos, content you'd like included, etc. The more the merrier. Please include a brief description of what you like/dislike or the general significance of each image (e.g., line weight, composition, color palette). Please include the following:

Plenty of images of tattoos you like, and why

Plenty of images of tattoos you do not like, and why

1 image of your favorite tattoo that Ray has done

Photos of Area *

PLEASE SEND ALL IMAGES TO RAYCORSONTATTOO@GMAIL.COM Please include photos of the area you'd like tattooed with a ruler beside it so Ray can properly gauge size. Tips: - Ask someone to help you take well lit photos. - Pease keep the camera parallel to the area to prevent warping and distortion. - Marking/circling the area is also helpful.

Please include photos of the area you'd like tattooed. Include a ruler or measuring tape so we can reference for sizing.

Check All That Apply

First Tattoo [Ever]

Rework

Working Around Existing Tattoos

Working On/Around Scar Tissue

Return Client

Allergies / Medical Information

Do you have any allergies? (i.e. latex; lidocaine; hair dye; nuts; etc.)

Do you take medications that can affect your tattoo? (i.e. Isotretinoin/Accutane; antibiotics; blood thinners)

Do you have any medical conditions that may affect your session? (i.e. Chronic Skin Condition; Immunodeficiency; T1/T2 Diabetes; HBV; HCV)

Are you a person with a disability?

Are you pregnant or planning to become pregnant soon?

Other / Unsure