Model Service Form
Apply to be selected!
Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Email Address
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
When is the best time to reach you?
*
Emergency Contact Person
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
What’s your Hair Type?
*
Which Model Service would you like to apply for?
*
Please Select
Color
Extensions
Color & Extensions
Headspa
Social Media Content
Upload an image of your current hair in good lighting from both the front AND back.
*
Browse Files
Drag and drop files here
Choose a file
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What is the current condition of your hair?
*
Hair Loss
Heat Damage
Spilt Ends
Breakage
Very Oily
Dry
Dandruff
None
Other
What is the condition of your scalp?
*
Dry
Normal
Itchy
Oily
Other
Have you used the following in your hair before?
*
Permanent Haircolor
Keratin Treatment
Brazilian Straightener
Relaxer
Henna
Splat or Manic Panic
Other
When did you last apply professional or unprofessional services listed above?
*
What products are you currently using on your hair?
*
Have you ever had extensions before? If so which type did you have? Did you keep them maintained? How was your experience?
*
Anything I should know about you or your hair? Feel free to leave any comments below!
*
Are you hoping to maintain your hair color or extensions with me and become a client of mine?
*
Yes, I’d like to become a client.
No thanks, I’d just like to be a model
Yes Please, get me booked ASAP
I’d like to set up reoccurring payments.
Other
How did you hear about Envy Lynzee?
*
Facebook
Instagram
Online Advertisement
Google Search
Referred by a friend
Other
Would you like to receive updates from our Envy Lynzee via email?
*
Yes
No
Date Signed
*
-
Month
-
Day
Year
Date
Client's Signature
*
Print Form
Submit
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