Model Call - Concihairge

Name *

First

Last

Mobile Number *

We will be texting you with additional questions.

Email *

What is your experience with at-home boxed hair color? *

I've used it in the last 18 months
It's been over 2 years
Never

When was your most recent hair color appointment and what services were completed? Feel free to elaborate as much as possible, even including the brand of color that was used if known. *

Please describe your current hair color, length, and thickness. *

Please upload 1-3 photos of your current hair color in the most natural light possible. *

Click or drag files to this area to upload. You can upload up to 3 files.

We will request more photos via text message if needed.

What services would you like to have completed and what outcome would you like to achieve? *

Please upload 1-3 photos of your "inspiration" aka what you'd like to achieve during this appointment. *

Click or drag files to this area to upload. You can upload up to 3 files.

We will request more photos via text message if needed.

In order to be chosen for the complimentary hair model spot I am aware that ... *

All services are complimentary and will take place in Pottstown PA on 5/22/2023.
I will sign a Model Release giving permission for photos of my hair to be used in advertisements.
I will sign a Chemical Release form releasing Concihairge and the Stylist performing my services of responsibility if I am not pleased with the outcome of my appointment.
I verify that by submitting this form all information I've provided is true.

Phone