By completing this application form, you are applying to be a model in Breast Cancer Now's The Show Scotland.

We will use the information which you provide on this form (including information about your race, your ethnicity, your health or experiences as a breast cancer patient) to select models for The Show London and to manage our relationship with you sensitively and appropriately.

If you no longer want Breast Cancer Now to use your information in these ways, you can get in touch to withdraw your permission using the contact details on this form.