Model Form

1

Name

First Name

Last Name

2

Phone Number

Please enter a valid phone number.

3

Emailso we can get in touch- if it doesn't work out this time we'll put ya on a list for future model opportunities if that's your thing!

example@example.com

4

What is your instagram handle?

5

Please upload a cute selfie!This way we can see your vibe- we will not share this image without your permission.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

6

Are you interested in a haircut?

YESNO

7

Are you interested in hair color?This could be all over color, highlights, balayage, etc. We will let you know what services you will be receiving before your model appointment.

YESNO

8

Have you ever used box color on your hair?In the last 5 years

YESNO

9

MODEL EXPECTATIONS + AGREEMENT: * This field is required.I understand that the services being performed are at the discretion of a Reverie Hair Co. stylist and I cannot request a redo or adjustments. I agree to follow the makeup and outfit guidelines of the stylist performing the services.

YESNO

10

Photography and Video ReleaseI hereby grant permission to the rights of my image, likeness and sound of my voice as recorded on audio or video tape without payment or any other consideration. I understand that my image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. I also understand that this material may be used in diverse educational settings within an unrestricted geographic area.

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