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PR & Creator Intake Form

We're so glad you reached out! bare Vitaderm is a clean, small-batch skincare line made with rare, world-sourced botanicals — currently available through select holistic care providers (chiropractors, wellness practitioners, and more) and our website, with big plans to expand into mainstream retail. As we grow, we're building a curated community of creators to partner with, and we'd love to get to know you better. Please fill out the form below and we'll follow up as opportunities open up 🖤

Full Name

Email

Re-type Email

Phone number

Date of Birth

Are you 18 years of age or older? (note: answering 'No' doesn't automatically disqualify you from participating in our PR campaigns)

A
B

TikTok Handle

Instagram Handle

Other Platform

Where are you in your influencer/content creator journey? (e.g. just starting out, building an audience, established creator, etc.)

Shipping Address

City

State

Zip Code

Why are you interested in bare Vitaderm?

Tell us about any past brand partnerships or PR experience (skincare or otherwise) — what worked well, and what you're looking for in a partnership.

Anything else we should know?

I confirm that the information that I have provided is truthful/accurate

Initals

Date

By submitting this form, you confirm that all information provided is accurate and truthful. Product sent by bare Vitaderm is provided as a gift at our sole discretion and does not constitute a contract, guarantee of compensation, or formal partnership unless separately agreed to in writing. Any resulting posts must comply with FTC disclosure guidelines (e.g., #gifted, #ad, or #partner as applicable) if bare Vitaderm is mentioned or tagged.

If you love the product and want to share your experience with your audience, we'd be thrilled — and creators whose content resonates with our brand may be considered for future paid partnerships or ongoing collaborations.

bare Vitaderm is not responsible for any allergic reaction, skin sensitivity, or adverse effect resulting from product use. Please review the full ingredient list prior to use and discontinue immediately if irritation occurs. If you are under 18 years of age, product will only be shipped with verified parent or guardian consent, and any resulting content must also comply with applicable child-safety and endorsement laws.

bare Vitaderm reserves the right to decline, delay, or discontinue product gifting or partnership consideration at any time and for any reason."