Input Form External (Hair Only Donation)

Step 1: Donor Information | Step 2: Receive and Keep Your ID Number | Step 3: Process Complete

Please Make Sure Your Hair Meets Our Hair Donation Requirements: Click here to check our donation guidelines.

· Hair must be a minimum of twelve (12) inches and clean and dry before sending. Hair must NOT be chemically treated or permanently dyed.

· Only one email address can be used per donation. If you have any questions, please contact our office at 440-333-4433 before submitting this form.

Donating Hair *

First Name *

Last Name *

Adults' Email (please do not use your salon or stylist's email.) *

Phone Number (555-555-5555)

Address *

City *

State (XX) *

Zip *

Country *

Age of Donor *

This Donation Is In Honor or In Memory of:

In Honor of/In Memory of Name

How did you hear about Wigs For Kids? Click all that apply

Salon

Great Clips

Google

Social Media

Previous Donor

Friends and Family

Medical Professional

Other

The children we serve would love to hear from you. If you would like to share a message of support, or share why you are making your donation today, please tell us below:

Does your donation measure 12 inches or more? *

YesNo (If No ‘Please consider growing longer before donation’)

Is your hair free of chemical processing (dyes/perm)? *

YesNo (If No ‘Your hair will not be useable until all the dye or perm has grown out’)

Would you consider holding a fundraiser for Wigs For Kids *

YesNo

I would like to make a monthly financial contribution to sponsor a child.

You will receive a thank you via email. Check here if you would also like to receive a thank you postcard in the mail.

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