Haircut Assistance Application Form
We provide free and discounted haircuts to those in need through trusted barbers, community care, and our Barber Therapy program.
Haircut Assistance Application Form
Haircut Assistance Application Form
Haircut Assistance Application Form
Haircut Assistance Application Form
Section to gather Parent/Guardian Information (if applying for a child)
Applicant Information
Preferred Contact Method
Service Request
Who is this request for?
Number of People Needing Haircuts
Services Requested: (check all that apply)
Transportation Assistance Needed?
Location & Accessibility
Do you currently have access to regular grooming services?
Do you have any mobility or health issues affecting access to grooming services?
Additional Support and Story (Optional)
We offer opportunities beyond haircuts. Please check if you’re interested in
Share Your Story (Optional but Encouraged)
Supportive Questions
Note: Up to 2 children per adult may apply per event or session.
Preferred Barber (Optional)
Do you have a preferred barber?
We work with both compensated and volunteer barbers. If your barber is part of our network, we’ll try to match you. Otherwise, we’ll assign a trusted barber near you.
Consent & Submission
By clicking “I Agree,” I confirm that the information provided is accurate to the best of my knowledge. I understand this is an application for support and not a guaranteed appointment. I agree to be contacted by a team member of Haircuts for a Cause for scheduling or follow-up.
I agree to be contacted by HaircutsForACause regarding my application, appointment, and future opportunities.
I understand that my information is confidential and used only to provide assistance.
Once you agree and submit, a member of our team will review your request and follow up with next steps. Thank you for trusting us to serve you.