Children with Hair Loss - Wig Out for Kids Sign Up

Are you a CWHL Salon/Barber Partner? *

If you are not already a CWHL Salon/Barber Partner, you will have the option to sign up for that program below.

Business Name*

Contact Name*

Business Email*

example@example.com

Business Phone*

Please enter a valid phone number.

Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

We want to host the following Wig Out For Kids Promotion (You may do both!)*

Cut-A-ThonHeart Sale

Social media accounts we'll post Wig Out for Kids Promotion Pictures using #CutPassLove

Social Media Accounts

(Please List Platform and Usernames Ex: Twitter: @username, Facebook: username, etc...)

For your participation in the Wig Out for Kids promotion and for sharing your event photos on social media using #cutpasslove and tagging CWHL in your posts, we are sending you one FREE pink wig!

Select the wig length you prefer

Please verify that you are human*