Intake Form
Thank you for choosing to spend time with me
If you would like my consideration on booking with you in any future, Please fill out this form to the best of your ability
See Etiquette page for verification options , Your information is handled with care and discretion and never sold or shared. If you need assistance, please email here.
Appointment Details
References
Please be sure to notify your provider after submitting this application that you wish to use them as reference
NOTE:: WORK BADGE / BUSINESS CARD
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You still need to fill out this form
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Send all Photos of items to Email Directly (badge/business card/pay stub)
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*Be prepared to contact me through the email and Phone number that matches your business website or business card
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A selfie in pose of my choice will be decided upon Submission of application for EVERYONE so I know who to open my door for
NO FORM OF VERIFICATION ABOVE?
YOUR APPLICATION WILL NOT BE ACCEPTED! AND YOU WILL BE IGNORED
