Citrine Custom Form

Custom Booking Form

Currently booking March - April 2026
Name *

First NameLast Name
Preferred pronouns
Preferred name
IG Username*
Date of Birth *

MonthDayYear
Email *
example@example.com
sign me up for email alerts on appointment openings, exclusive discounts, and giveaways*
What days of the week are you available?*

TuesdayWednesdayFridaySaturday
Which month are you interested in booking*

MarchApril
What start time(s) are you interested in?*

9am10am11am12pm1pm2pmANY
What is your budget? -if applicable
*$120 is the minimum for customs - it covers tattoos that take 30 minutes or less
Linework-Only, Black & Grey (shaded)?

Linework-OnlyBlack & Grey (shaded)Mixed (getting more than 1 tattoo)
Approximate tattoo size (W x H)*
Tattoo placement*
ex. left forearm
Upload photo of placement*

Browse Files
Have someone take the photo for you for better angles & include nearby tattoos, if any. Cancelof
For custom piece, please tell me about your idea below *

ex. small daisy with stars0/40
Upload reference photo(s)*

Browse Files
tip: make collage, if wanting to include several photos Cancelof
Do you have any questions/mentions?

list any specific days you'd prefer0/50
please read F.A.Q. page before booking
I understand that this booking request form does not guarantee an appointment. I understand that I will be contacted via email in 1-7 days after submitting this form (if my request has been accepted) and will be required to pay a non-refundable booking/drawing/retainer fee of $60-$100 via Square. *The booking/drawing/retainer fee amount is determined by appointment type and total. I understand that there is a $120 price minimum for customs. I acknowledge that until the booking/drawing/retainer fee has been received, my appointment has not been confirmed. I understand that if I request major changes to my design after submitting this form or booking the appointment, the cost may vary from the quote I was initially given. I have read the FAQ page before requesting to book an appointment. I understand that the artist, Mya-Jude of CITRINE fineline tattoo, owns all rights to the design(s) they have created, and I do not have permission to use their designs in any form (e.g., tattoos, prints, logos, merch, flash, publication, etc.).*
*Please remember to check your junk/spam folder for a reply
All images/designs on instagram.com/_mj_nicole and on this form are protected by copyright.
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Custom Booking Form