Name / Contact Information
First Name:
*
Last Name:
*
Address 1:
Address 2:
City:
State:
Zip:
Website:
Instagram:
Home Phone:
Cell Phone:
*
Email:
*
Personal Details
Birth Month:
*
Birth Day:
*
Birth Year:
*
Age Range:
*
3-5
6-10
11-15
16-25
26-40
41-54
55 Plus
0-6 mth
6-9 mth
9-12 mth
12-18 mth
18-24 mth
Gender:
*
Female
Male
Ethnicity: (Multiples Allowed)
*
Caucasian
African American
Asian
Latino
Indian
Middle Eastern
American Indian
Inuit
Polynesian
Eye Color:
Blue
Brown
Green
Hazel
Hair Color:
Black
Blonde
Dk Blonde
Brown
Lt Brown
Red
Salt&Pepper
Silver
White
Bald/Shaved
Height:
20 inches
21 inches
22 inches
23 inches
24 inches
25 inches
26 inches
27 inches
28 inches
29 inches
30 inches
31 inches
32 inches
33 inches
34 inches
35 inches
36 inches
37 inches
38 inches
39 inches
40 inches
41 inches
42 inches
43 inches
44 inches
45 inches
46 inches
47 inches
48 inches
49 inches
50 inches
51 inches
52 inches
53 inches
54 inches
55 inches
56 inches
57 inches
58 inches
59 inches
5-0
5-1
5-2
5-3
5-4
5-5
5-6
5-7
5-8
5-9
5-10
5-11
6-0
6-1
6-2
6-3
6-4
6-5
Weight(Lbs):
Shoe Size:
1
1.5
2
2.5
3
3.5
4
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
9.5
10.0
10.5
11.0
11.5
12.0
12.5
13.0
13.5
Do you currently have a "Mother Agent" and/or are you currently under representation by any other Model/Talent Agency in any other area? If yes, please provide all current representation details in the comment box.
*
Yes
No
Measurements
Men
Women
Jacket Size:
39S
39R
39L
40S
40R
40L
41S
41R
41L
42S
42R
42L
44S
44R
44L
46S
46R
46L
Collar:
15
15.5
16
16.5
17
17.5
Sleeve:
32
33
34
35
36
Inseam:
28
29
30
31
32
33
34
35
36
Dress Size:
0
0/2
2
2/4
4
4/6
6
6/8
8
8/10
10
10/12
12
12/14
14
14/16
16
Bust:
32
33
34
35
36
37
38
39
40
Waist:
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
Hips:
32
33
34
35
36
37
38
39
40
41
42
Kids
Clothing Size:
0-6 mths
6-12 mths
12-18 mths
18-24 mths
2T
3T
4T
size 5
size 6
size 7
size 8
size 9
size 10
size 11
size 12
size 13
size 14
