L’s Closet Atelier – Couture Costume Request Form

Couture Costume Application

Please complete this form to begin the custom design process.

Client Information

Parent / Guardian Name*

Dancer’s Full Name*

Dancer Age*

Email Address*

Phone Number*

Preferred Contact Method*

Text Email Phone

Dance Studio Name*

Instructor / Choreographer*

Performance Details

Competition / Event Name

Performance Date*

Routine Type

Solo Duo/Trio Group

Song Title + Artist

Describe the dance theme or emotional story

Design Vision

How should this costume feel on stage? (select all that apply)*

Primary Colors*

Colors to Avoid*

Do you have inspiration photos?*

Yes (I will upload) Not yet

Upload Inspiration Photos

Must-have details or requests*

Costume Features

Base Style*

Measurements

How will you provide measurements?*

Upload measurement sheet Schedule fitting with designer

Upload Measurements (optional)

Current Leotard Size*

Preferred Coverage Level*

More Coverage Standard Competition Fit High Cut Line

Sparkle & Performance

Rhinestone Coverage Preference*

Full Couture Sparkle Medium Sparkle Minimal Sparkle

Movement Requirements (select all that apply)*

Timeline

Date Costume Must Be Competition Ready*

Is this a Rush Order?*

Yes No

Budget & Investment

Investment Range*

$300–$500 $500–$800 $800–$1200 $1200+ Couture

Additional Notes

Anything else you want the designer to know?

Agreement

I understand this form is a request for custom couture design services and that project acceptance is based on availability and design consultation*