Core Skin Studio - Model Form

Core Skin Studio - Model Form

Please only fill this form out if you are interested in being a model. You MUST be comfortable with photos and videos being taken and shared to be a model for marketing purposes.
Full Legal Name:

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth

MonthDayYear
Date
Social Media + Other Questions
Instagram Handle (put N/A if you do not have one)
I won't tag you (unless you want me to), but I do like to follow you!
Are you comfortable being tagged in content?
Are you comfortable with sharing content on your own page?
How did you hear about Core Skin Studio?

Other
Why do you want to be a model client for Core Skin Studio?
Skin + Treatment Goals
What are your main skin concerns?
Examples: acne, aging, pigmentation, texture, hydration, soothing, etc.
How would you describe your skin type?
Examples: dry, oily, combination, sensitive, acne-prone, etc.
What is your current skincare routine?
Please include cleansers, toners, serums, exfoliators, moisturizers, etc.
Do you currently use any prescription skincare from a dermatologist/physician? Examples: Tretinoin, Hydroquinone, Steroid Creams, Anti-Fungal Creams, etc.
If you answered "Yes" above, please list what you use.
Do you see another esthetician or get services done regularly? (can be monthly, bi-monthly, quarterly)
Do you currently do facial waxing regularly? (brows, upper lip, chin)
Have you had any of these procedures done in in the last 2 years? Please check all that apply.
Treatment Interest
Which services would you be open to modeling for? (check all that apply)
Do you like to talk or relax during treatments?
Medical History
Do you have any known allergies to ANYTHING (food, skincare, medications, animals/insects, metals, latex, etc.)
If you answered "Yes" to the question above, please list allergies here:
Are you currently taking ANY prescription medications?
If you answered "Yes" to the above question, please list medication(s) and reason(s) for medication
Example: "zoloft - anxiety/depression"
If you have been diagnosed with any autoimmune conditions, cancer (past/present), blood disorders, tumors (past/present), or any other more severe diagnoses, please list them here:
Please put NA if not applicable
Availability + Flexibility

Please pick based on the best option that fits your lifestyle :)
Day of the Week (check all that apply)
Time of the Day (check all that apply)

Other
How much notice in time would you typically need?
Are you comfortable with last-minute scheduling (less than 24 hours)?
Comfort with Being On Camera
Are you comfortable being photographed?
Are you comfortable being filmed during treatments?
Consents + Expectations
I acknowledge that treatments may be discounted or complimentary in exchange for media/content use.
I give consent to Core Skin Studio LLC to use photos/videos taken during your modeling service for being used for any and all marketing, all applicable social media accounts, and website purposes.
I acknowledge that modeling services provided are designed for both treatment and content creation. As part of this, there may be brief interruptions, repositioning, or adjustments for lighting and filming purposes. I understand that the overall flow and timing of the treatment will differ from a traditional experience in the Studio.
Should be Empty:

Core Skin Studio - Model Form

Social Media + Other Questions

Skin + Treatment Goals

Treatment Interest

Medical History

Availability + Flexibility

Comfort with Being On Camera

Consents + Expectations