To receive a free CROWN from CROWNS BY L.A. you must be willing to provide the following information:
*Parents are welcome to complete this form for their children (under 18) who are living with hair-loss and would like to participate in the Queen to Queen Program.
- First & Last Name
- Email Address
- Name or Description of Your Cause of Hair-Loss
- Facebook or Instagram account name/link - to verify your identity
A photo of yourself to verify your hair-loss (we will not publicize this photo on our website or social media accounts without your permission)
Lastly, if you are chosen as a recipient, we will request that you send us a photo of you - We would love to see you wearing your new CROWN!