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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

Opt-In: By checking either box below, you consent to receive automated text messages from bare Vitaderm at the phone number provided. Consent is not a condition of participation or gifting. Message and data rates may apply. View our [Privacy Policy] and [Terms of Service] at bareVitaderm.com.

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. Products sent by bare Vitaderm are offered as gifts at our sole discretion and do not constitute a contract, guarantee of compensation, or formal partnership unless separately agreed to in writing. Any resulting content must comply with applicable FTC endorsement and disclosure guidelines, including clear disclosure of gifted products or other material connections when required.

If you enjoy our products and wish to share your experience with your audience, we'd be delighted. Creators whose content and audience resonate with our brand may be considered for future paid partnerships or ongoing collaborations, at our discretion.

Skincare products can affect everyone differently. Please review the full ingredient list before use and do not use products containing ingredients to which you know you are allergic or sensitive. Discontinue use if irritation or an adverse reaction occurs. Please contact bare Vitaderm with any questions about ingredients or product use before trying a product. This acknowledgment does not waive any rights or responsibilities that cannot legally be waived.

Applicants under 18 must have verified parent or guardian consent before any product is shipped. Any resulting content must comply with applicable child-safety, advertising, and endorsement requirements.

bare Vitaderm reserves the right to decline, delay, or discontinue product gifting or partnership consideration at its discretion.