Model Information Form

Please fill out the form below if you're interested modeling with us. All fields with asterisk are required.

Name * First Last
Gender *
Age *
Email *
Phone * - (###) - ### ####
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Web Site (e.g. modelmayhem, facebook, myspace, etc.)
All additional information below are required for photographer's concept and preparation for the photo shoot.
Photo shoot services Time-for-prints or CD Will pay photographer's services Other arrangements
Please specify other arrangement(s)
Preferred date (first choice) * / MM / DD YYYY
Preferred date (second choice) / MM / DD YYYY
Mostly available On weekends On weekdays Morning Afternoon Evening
Profile photo number one *
Profile photo number two
Hair Color *
Hair length *
I Look *
I will model for * Portrait Fashion/Glamour/Magazine style Swimwear/Beachwear/Sports/Fitness Artistic/Creative/Collaborative ideas (nude and/or clothed) Budoir/Lingerie
Any identifiable freedom of expressions on different parts of your body? * Tatoos (henna or any type of body art) Piercings Funky, wacky or alien hairstyle :-) None
Please describe (can it be removed, location(s), etc.)
Location, location , location Photographer's choice of location I will provide or have access to an indoor or outdoor location
Have own transportation
Will sign a model release *