Hair Donation Form
Please complete the below form prior to posting your donated hair.
Name of person completing form
First Name
Last Name
Name of person donating hair, if different
First Name
Last Name
Age (optional)
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Length of hair to donate (inches)
Please ensure hair for donation is at least 14 inches
If hair was cut in a salon, please let us know which one
Salon Name
County
After processing we email donors a thank you or a certificate with their name on it, please let us know your preference:
Thank you email
Donation certificate emailed
Please confirm:
*
My hair is dry, in a ponytail/plait, free from artificial colour & meets the hair donation guidelines with a minimum length of 14 inches
Rapunzel Foundation will record the details you have provided on it's hair donation register. Your details will be stored confidentially and securely for 2 years, after which they will be deleted. You are welcome to send your hair anonymously if you prefer, however, we will be unable to confirm safe receipt of your donation.
Submit
Should be Empty: