332 S. Michigan Ave.
Suite 121
Chicago, IL 60604
312.922.3560
info@kuttinege.com
Paul Chambers
Wendy Chambers
First Name: Last Name:
Email: Phone:
Female Male Date of Birth:
Hair Length: Hair Type:
Hair Color: Hair Density:
Is your hair color treated? Yes No
If yes, then check one: One Color Highlights Multicolor
Is your hair chemically relaxed or straightened? Yes No
Describe your hair's condition: Healthy Dry Oily
Please indicate why you are interested in being a Class Model; check one or more:
Blow Dry $15 Hair Cut $17 Relaxer $20 Partial Highlights $25
Are you available on Tuesdays bewteen 11:00 a.m. and 1:30 p.m.? Yes No
Comments or Questions
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