Bei Capelli Daytona Beach Salon

Complete this form to be considered as a hair model for a free haircut or discounted color service. A stylist will call you to schedule an appointment if chosen.

Do not request a regular appointment here. Please call 386-868-5857 to make appointments with our styling team.

Model Registration

* Denotes a Required Field.

Items with an asterisk (*) are required fields.

Contact Information

Name: *

Your First Name & Last Name. Required.

Email Address: *

A unique, valid contact email address. Required.

Address

Your current street address.

,
city	state	zip code

Phone: *

Your phone number.

Hair Information

Length: *

Length of hair.

Type: *

Type of hair.

Thickness: *

Thickness of hair.

Texture: *

Texture of hair.

Treated:

Has your hair been chemically treated (color, highlights, permanent wave or relaxer)?

Flexible:

Are you flexible with lengths and creativity?

Style: *

What haircut or color service are you looking for?

Referral: *

How did you hear about our model program?

Security Code

Code:

Please enter the code shown above.