Model Submission Form

Model Submission Form

CocoaLovesHair
Name*

First NameLast Name
Email*
example@example.com
Phone*
Please enter a valid phone number.
City and State*
Photos of hair. Must be less than a month. Front profile*

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Side Profile*

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Back Profile*

Cancelof
Please provide a profile your looking to achieve:*

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Is there permanent hair color on your hair?*

YesNo
When was your last color? Was it at a salon?*
Please provide a Brief Hair Color/Chemical History of the past 3 years (Brazilian, Cellophane, Rinse, Box Color, Perm, Manic Panic etc.) Please be honest.*
When was your last cut?*
Please list any allergies*
Are you taking any medications?*
Have you used permanent hair color before? If so, did you have any reactions or issues?*
How often do you shampoo your hair? What Shampoo, Conditioner and styler are you currently using?*
*Please list of any deep conditioner, oils or creams as well
If Selected:
- NO heavy oils
- NO gels or mousse
- NO ponytails or buns
- NOT pinned behind the ears or slicked back
Cleanse with a clarifying Shampoo and Conditioner. Spray in a lightweight leave in.
Come with your hair as natural as possible.
I need to see where the hair naturally falls. Any heavy product or styling will alter this. IT’S OK IF YOUR HAIR IS POOFY. Arriving with your hair in its natural state, allows me to get right into the service without having to spend time washing/detangling it or even detoxing it from buildup. Your hair will be washed and styled after your service.
If Chosen, If you do not come with your hair prepared as stated above. Do you understand I will have to cancel the service and your deposit will be lost.*

Yes
If Chosen, Do you understand that to secure this model call a $50 nonrefundable retainer is required. It will be applied toward your service. If you are to cancel less than 24hour notice, the deposit will be lost.*

Yes
Should be Empty: