Model Application

Your Name*

First NameLast 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.*
Which best describes your hair?*

Virgin Hair - I've never received any color servicesI've only ever had highlights -- never any permanent or demi permanent colorColor treated with permanent or demi permanent colorI've had both highlights and colorBox colorThere really isn't anything I haven't done to my hairNatural TexturedRelaxed
In the last five years, have you had any of the following services?*

BleachingHaircolorVivid ColorsHenna or other natural colorBox ColorSplatColor OopsSun-InPermRelaxer
Please tell us about all chemical hair services you've had done in the past twelve months (both professional and at-home services).*
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.*

I agreeI disagree and do not want to participate
Please list specific days/times you are available?
Which best describes your hair?

StraightWavyCurlyCoiledKinkyDensity: Extremely ThinDensity: ThinDensity: AverageDensity: ThickDensity: Extremely ThickLength: Above ChinLength: Between Chin and ShouldersLength: Between Shoulders and Mid-BackLength: Longer than Mid-BackDamagedDry
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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