Skin Transformation Challenge Enrolment Form

Skin Transformation Challenge Enrolment Form
Enrolment Date*

MonthDayYear
Date
Name*

First NameLast Name
Business Name*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Model Name(s)*
Signed & Completed Model Release Form*

Cancelof
Download the Model Release Form here.
Which category are you competing in? (Select all that apply)*

AcneHyperpigmentationSensitive/RosaceaAging
I confirm that I am using ONLY Circadia professional products and Circadia home care products.*

Yes
Treatment start date:*

MonthDayYear
Date
Before & After Photo Guidelines:

Lighting
• Natural, even light (no flash, no shadows).
• Same location & lighting for both photos.

Angles
• Front, left, and right side.
• Same camera, same distance

Appearance
• Neutral expression, clean skin (no makeup/tinted SPF).
• Hair pulled back, simple solid top when possible

Consistency
• Match pose, angle, and setting for before & after.
• No filters or edits.

Submission
• High resolution, clearly labeled “Before” / “After.”
• Model release form must be submitted.

For general image submission guidance, see this reference.
Before Images*

Provide as many as required. Be sure to clearly label your images with the model's name and category of treatment.
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*Before images must be submitted on day 1 of your treatment plan. After images must be submitted no later than 90 days following day 1 of your treatment plan. After images must be included in your completed submission form.
Should be Empty: