Muse/Model Nomination Form

Please provide the information requested to be considered to be one of our muse/models for the Hidden Faces project.
All participants in the project must be willing to sign a waiver of rights for photographs taken during the session.
You need to be available September 28th and/or 29th. Your session will take between 4-6 hours.
The deadline to submit your nomination is Sept. 15, 2019.

Name

First Name

Last Name

Phone

(###)

###

####

Email Address

What mental health challenge do you struggle with?

Please describe how it feels when your mental illness symptoms are at full blast (please use as many descriptive words & similes as you can):

Are you willing to be photographed nude or partially nude, while wearing body paint or a projected image?

Are you 18 years of age or older?

Any requests?

Combatting Depression And Strenthening Relationships

Through awareness and intentional acts of kindness.

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  The Reminder Project does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on our website or social media.)