tattoo ritual intake form

name *

The name that honors you. Whether that is your chosen name, preferred name, spiritual name, cultural name - this does not need to be your legal name.

First Name

Last Name

I have read the full tattoo ritual info page and have an understanding of what it means to receive tattoo through ritual. *

some features available to read that have more info about tattoo ritual available here: https://linktr.ee/lakapatis.legacy

I understand that receiving a tattoo through ritual takes patience, intention, time and energy. I honor the practitioner's knowledge, energy and experience of over 13 years and am ready to honor the energetic exchange of this process and ceremony. *

I understand that this is the intake form and not a confirmation of a ceremonial session. *

Please allow 5-7 business days for the practitioner to respond to your intake form. A 20-min free phone consultation will be scheduled if we want to proceed forward.

The following information below is important to read, acknowledge and accept if you would like to proceed with your submission to potentially schedule a tattoo ritual. Serious inquiries only.

Mark the checkbox if you understand.

I understand and accept that there is a required pre-ritual tawas (divination) reading (Kilubansa) to be scheduled and fulfilled, weeks before the day-of ceremony. This is for determining placement and the the time it takes to create your tattoo design.

This is considered your non-refundable security deposit, which covers the time and energy of the Kilubansa reading and drawing design time, and secures the date of your tattoo ritual.

I understand and accept that the day-of ceremony will take up to 8 hours maximum or less, including breaks (ie. for food, water, stretching). *

Current (subject to change) hourly rate for energetic exchange is $222.

I understand and accept that tattoo ritual requires my full presence the day of ceremony, and will require going with the flow of the day with no other plans scheduled that day, and to follow through with necessary aftercare for myself by eating a proper full meal and resting with a full night's sleep immediately after the ceremony.