BB GLOW MODEL Intake Form

For just $200, receive 3 sessions (normally $200-$400 per session) to achieve that radiant glow you’ve always wanted. To Participate, You Must:

✔️ Agree to be photographed and videoed.

✔️ Tag and refer a friend.

✔️ Share and like this post.

Contracts will be signed, and all details will be confirmed upon acceptance.

Ready to shine?

First name*

Last name*

Email*

Phone

Medical & Skin Information

Do you have any known skin conditions?(eczema, psoriasis, dermatitis, rosacea, etc.)

Yes

Are you currently experiencing active acne, open wounds, or infections on the face?

Yes

Do you have any allergies (especially to cosmetics, pigments, or skincare products)?

Yes

Have you had any facial treatments in the past 2 weeks?

Yes

If yes, which treatment?

Are you pregnant or breastfeeding?

Yes

By signing below, I acknowledge that:

I am participating as a BB Glow Model.

I agree to complete all 3 required sessions.

I am comfortable being photographed and filmed for documentation and promotional content.

I understand results vary based on skin type and aftercare compliance.

Date

Month

Day

Year

Signature*

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Alright reserve @2025 by The Body Sculpt Spa by S&S.

Address

Call

256-273-7555

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