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Tattoo and Piercing Studio

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in Brick, NJ

Looking Glass Studio

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Tattoo Request Questionnaire

This form will help the artists to envision your idea. (We will not be able to accommodate every request.) You will receive an email back if we are able to fulfill your request.

First Name

Last Name

Email

Phone

Address

Date of Birth (for quick scroll, click on the center of the year on the calendar)

By checking this box, I confirm that I am 18 years+. I understand that the artists at Looking Glass will not tattoo anyone under 18, even with parental consent. -Yes, I am 18 years old, or older.

© 2022 by Looking Glass Tattoos, LLC. All rights reserved.

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