Real First Name

Real Last Name

Modeling name / alias

Link to your main portfolio

Link to your website

Link to your MySpace

Date Of Birth

  Please note that I do not work with models under 18. If you are filling out this form, and are under 18 then shoot will have to be arrange for after your 18th birthday. There are no exceptions and I do check ID

Day : 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month : January February March April May June July August September October November December Year : 1890 1891 1892 1893 1894 1895 1896 1897 1898 1899 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007

Address

Home telephone number

Mobile telephone number

Email address

MSN Messenger ID

Yahoo Messenger

Google Talk

Skype ID

Experience: None, total beginner Shoots with friends Some shoots with photographers Over year Professional

Comfort Level with Nudity:

Stating your comfort level will not mean that we will be shooting to that level.

Don't Know Unsure No nudity Partial nudity Artistic nudity Explicit artistic nudity, erotica

Comfort Level with Outdoor work:

Stating your comfort level with outdoor work will not mean that we will be shooting outdoors or to that level.

Don't Know Will not work outdoors Outdoors Private Only Outdoors Public Outdoors nude (Private Only) Outdoors nude (Public)

Comfort Level with styles: (tick all that apply)

Stating your comfort with the following styles will not mean that we will be shooting to that level.

• Swim wear
• Lingerie
• Fetish
• Bondage
• Erotica
• Multi Model Shoots

Do you have Tattoos?

Do you have Piercing's?

Do you have Scars or other blemishes?

I am modeling for or interested in modeling for: (tick all that apply)

• Third Party website's (suicidegirls.com, godsgirls.com, etc)
• Magazine / Print publication
• Personal use only (for family, friends, facebook etc)
• My personal website
• Portfolio building
• Fun / Experience building

How will you travel to the shoot? Don't Know Car Train

Do you need a contribution towards travel expenses? No Maybe Yes

If so how much?

Are you planning on brining a chaperone? Maybe Yes No

If you might brining a chaperone, who would it be?

Anything else you want to tell me?