October 2016 Healthy Hairdresser Challenge

“Priority Pink—Breast Cancer Awareness and Taking Care of YOU!”
Thank you for accepting the challenge to perform a breast self-exam or to schedule a mammogram—or schedule another health screening—during breast cancer awareness month.
Please complete the form and registration no later than October 31, 2016 to be eligible for one of the 10 full-size Ouidad Superfruit Renewal Clarifying Cream Shampoo products (retail value $26; $2 of each sale through donated to the Breast Cancer Research Foundation). Also, one grand prize winner will earn a free Ouidad two-day certification training (education value $900; travel and accommodations not included). And remember to include your contact info!

Thank you and good luck!
MODERN SALON Editors

1. First Name *This question is required.

2. Last Name *This question is required.

3. Email *This question is required. This question requires a valid email address.

4. Are you a licensed, practicing salon professional? *This question is required.

For the October Challenge, please fill in the blanks and share your information in the spaces below:

6. What is your PRIORITY PINK pledge for October 2016? *This question is required.

I have (or will) perform a breast self exam this month
I have (or will) schedule a mammogram this month
I have (or will) schedule another important health care screening or appointment

7. Optional: Why is PRIORITY PINK relevant to you personally? (Any experiences or concerns with breast cancer in your family or circle? Do you have a difficult time prioritizing your own self-care or health screenings?)

8. May MODERN SALON editors contact you in coming weeks or months to check in on your progress and/or interview you? *This question is required.

9. AddressLast step: To be eligible for the opportunity to win one of the 10 Superfruit Renewal Clarifying Cream Shampoo (retail value $26; $2 of each sale donated to the Breast Cancer Research Foundation) or the grand prize free Ouidad two-day certification training (education value $900; travel and accommodations not included), please provide your mailing address and phone number below and indicate your preference:

Street Address *This question is required.

Apt/Suite/Office

City *This question is required.

State *This question is required.

Zip *This question is required.

Phone Number

10. Choose a product: *This question is required.

11. Do you wish to get the first look at the next Healthy Hairdresser Challenge along with more great salon wellness tips, ideas and inspiring stories in the Healthy Hairdresser Tuesdays e-letter?

12. Occasionally, we'd like to send you special offers and announcements from our advertising partners. If you'd prefer not to receive these, please check the box below:

I prefer not to receive any special offers or announcements sent on behalf of your advertising partners.

13. Do you agree to contest rules and terms? *This question is required.

I Agree

October 2016 Healthy Hairdresser Challenge

Take the Challenge!