Your Name
*
First Name
Last Name
Your Cell Phone Number
*
Please enter a valid phone number.
Your Email
*
example@example.com
How did you hear about us and please let us know what service you may be interested in receiving.
*
Please describe what you're expecting out of this experience. Please include your goals and limitations with the color/haircut including any allergies or sensitivities.
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Which best describes your hair?
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Virgin Hair - I've never received any color services
I've only ever had highlights -- never any permanent or demi permanent color
Color treated with permanent or demi permanent color
I've had both highlights and color
Box color
There really isn't anything I haven't done to my hair
Natural Textured
Relaxed
In the last five years, have you had any of the following services?
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Bleaching
Haircolor
Vivid Colors
Henna or other natural color
Box Color
Splat
Color Oops
Sun-In
Perm
Relaxer
Please tell us about all chemical hair services you've had done in the past twelve months (both professional and at-home services).
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As a model, I understand that the entire process will be filmed/photographed. I agree to sign off on a model release form and a photo release form. I understand that I must wear a neutral top and have makeup on.
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I agree
I disagree and do not want to participate
Please list specific days/times you are available?
Which best describes your hair?
Straight
Wavy
Curly
Coiled
Kinky
Density: Extremely Thin
Density: Thin
Density: Average
Density: Thick
Density: Extremely Thick
Length: Above Chin
Length: Between Chin and Shoulders
Length: Between Shoulders and Mid-Back
Length: Longer than Mid-Back
Damaged
Dry
Please upload 3-5 photos of your CURRENT hair. Also, please include any inspiration photos, if you have any. If you are unable to upload photos to this form, you may email them to dana@dnwluxehair.com and be sure to include your full name in the email. Photos of your hair are required to be considered as a model. Thank you
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