Name

First Name

Last Name

Phone *

(###)

###

####

Are you over the age of 19+? *

Yes

No

Are you fine with full nudity? *

Yes

No

Implied only

BODY PAINT *

Please check all that you are comfortable and your body will NOT react to*. *If unsure of an allergic reaction, please do NOT check it, we can always discuss certain ones later if needed.

Acrylic Paint

Natural Clay

Baby Powder

Baby Oil (or other body oil for shine)

Coconut Oil

NONE OF THE ABOVE

Describe your Personality *

I will use this information to cast as some of my projects require moods, emotions and styles that are best suited to the personality. We all can act but how I aim to get greater depth in my projects is to create the most authentic form of the theme as possible. Please choose all that apply to you.

Introverted

Extroverted

Open to experiences

Pay Attention to Details

Free and Go With the Flow

Goal Directed

Organized

Emotional

Logical

Excited and Playful

Relaxed and Calm

Trade for THREE (3) Photographs (guaranteed) fully retouched in my signature style, delivered digitally with watermark. ($300 Value) (More available to purchase if desired.)

Any images over 3 that I use online can be used in your portfolio as well (will have watermark and be websized).

Yes, I understand.

I understand that the images produced may be used for publication, marketing materials (for Sam Kaczur), fine art prints and/or products for sale. And by clicking the box below I have agreed that the COMPENSATION that I have selected above is fair in return for my modelling expertise.

Note: You will be credited on all publications.

Yes, I agree.

I cannot guarantee that we will work together as I may not be able to use your look at this time. I will reply to your submission for more details if needed and to let you know if your look will work within my ideas. If you would love to work with me (on a specific idea, or wish to have images sooner) I am available to hire to create images that you can use for your portfolio and social media. *

Yes, I understand.

Name *

First Name

Last Name

Phone *

(###)

###

####

I can do: *

Natural nude makeup on a variety of skin types

Basic hair (curling and straightening)

Braids

Trade for THREE (3) Photographs (guaranteed) fully retouched in my signature style, delivered digitally with watermark. ($300 Value) (More available to purchase if desired.) *

Any images over 3 that I use online can be used in your portfolio as well (will have watermark and be websized).

Yes, I understand.

I understand that the images produced may be used for publication, marketing materials (for Sam Kaczur), fine art prints and/or products for sale. And by clicking the box below I have agreed that the COMPENSATION that I have selected above is fair in return for my MUAH expertise. *

Note: You will be credited on all publications.

Yes, I agree.

I cannot guarantee that we will work together. If you would love to work with me (on a specific idea, or wish to have images sooner) I am available to hire to create images that you can use for your portfolio and social media. *

Yes, I understand.