Synastry + Composite Intake Form

Your Full Name

First Name

Last Name

Email

Date you were born

MM

DD

YYYY

Time you were born

Hour

Minute

Second

Location you were born

Their Full Name

First Name

Last Name

Their date of birth

MM

DD

YYYY

Time they were born

Hour

Minute

Second

Location they were born

Additional Questions

What is your relationship to each other?

What draws you to a synastry or composite-based tattoo?

Are there themes, memories, or emotions you’d love to honor?

Preferred Placement: (you & them)

Any other details you’d like to share?

This form is for soul-connected pairs—best friends, lovers, chosen family—seeking a tattoo that honors your relationship’s energy. Through your birth info, I’ll generate your synastry or composite chart, then translate that into a custom symbol reflecting your unique bond.

Take your time and be honest—this isn’t about performance, it’s about resonance.