Hair Donor Form

Have you cut your hair and are ready to send it to us?

Fill out the form below and you will receive an email with a PDF of the completed form to print and send in with your hair.

Have you cut your hair and still want to fundraise for kids in need?

Create your fundraising page here, don’t miss telling your family and friends about your amazing hair donation.

Need help? Please email hairwithheart@variety.org.au

Hair Donor Details

Hair Donor First Name *

Hair Donor Last Name *

Date of Birth *

Email address *

Phone *

Address

Address *

Suburb *

State *

Postcode *

Country *

Date of your Big Chop *

Did you fundraise for Variety for your hair donation?

How did you hear about us?

Would you like to hear from Variety in your state? *

Terms and Conditions *

By submitting this form, I agree to receive an email from Variety notifying me that the hair has been received. Information collected is in accordance with our Privacy Policy.

Hair Donor Form

Have you cut your hair and are ready to send it to us?

Have you cut your hair and still want to fundraise for kids in need?

Hair Donor Details

Parent/Guardian Details

Address