Bra Couture KC Model Application

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Bra Couture KC Model Application – 2026

Bra Couture KC Model Application – 2026

Please complete and submit this form as your official application and signed agreement to model for Bra Couture KC.

Model selections will be announced in late September 2025, with the Kick-off Meeting held in mid-October.

For questions, contact:
Sharon Butler Payne, Founder & Executive Director
📧 Sharon.payne@bracouturekc.com

Email *

Name: *

Primary Phone Number: *

Mailing Address:

(Please note in order to participate, you must reside within one hour from the Grand Ballroom,

301 W 13th St, Kansas City, Mo 64105)

What is your preferred method of contact? *

Phone Call

Text

Required

What is/was your cancer diagnosis? *

In what year were you diagnosed? *

Are you currently under treatment? *

Yes

At what medical center did you receive your treatment? *

Who are/ were the members of your medical team? *

Please provide a brief bio detailing your personal and family cancer experience(s) and your professional (career, business) endeavors. *

With the Bra Couture KC mission in mind, what would it mean for you to become a 2026 Bra Couture KC Model? *

The Bra Couture KC runway walk is a wonderful way to thank your friends and family who supported you during your cancer journey. Are you comfortable, because it is essential, in promoting your 2026 runway walk to your family and friends to encourage them to celebrate with you at the BCKC Event? *

In a few words, tell us what excites you the most about being a 2026 Bra Couture KC runway model: *

Please type your full name below. By doing so, you are providing your electronic signature and confirming that the information you have submitted is true and accurate. *

A copy of your responses will be emailed to the address you provided.

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