Skin Transformation Challenge Submission Form

Skin Transformation Challenge Submission Form
Enrolment Date*

MonthDayYear
Date
Submission 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
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.
Cancelof
After Images*

Provide as many as required. Be sure to clearly label your images with the model's name and category of treatment.
Cancelof
Detailed Client Home Care Regimen*
What home care regimen has your client been following? Please detail AM and PM regimens and all products prescribed. If you're submitting multiple entries, please separate them by client name and category.
Treatment Plan - Week 1*
Describe the professional and home care treatments provided to your client in week 1.
Treatment Plan - Week 2*
Describe the professional and home care treatments provided to your client in week 2.
Treatment Plan - Week 3*
Describe the professional and home care treatments provided to your client in week 3.
Treatment Plan - Week 4*
Describe the professional and home care treatments provided to your client in week 4.
Treatment Plan - Week 5*
Describe the professional and home care treatments provided to your client in week 5.
Treatment Plan - Week 6*
Describe the professional and home care treatments provided to your client in week 6.
Treatment Plan - Week 7*
Describe the professional and home care treatments provided to your client in week 7.
Treatment Plan - Week 8*
Describe the professional and home care treatments provided to your client in week 8.
Treatment Plan - Week 9*
Describe the professional and home care treatments provided to your client in week 9.
Treatment Plan - Week 10*
Describe the professional and home care treatments provided to your client in week 10.
Treatment Plan - Week 11*
Describe the professional and home care treatments provided to your client in week 11.
Treatment Plan - Week 12*
Describe the professional and home care treatments provided to your client in week 12.
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