Model Application 
Magazine Submission Contact Form
First Name: 
Last Name: 
Address: 
Address: 
City: 
State: 
Zip: 

Home Phone: 
Work Phone: 
          Cell Phone: 
E Mail: 
Best Time to Contact You 
 
 

Age: 
Date of Birth: 
Height: ft.inches (eg: Enter 5.2 NOT 5'2")
          Weight: lbs
Shoe Size:    
Dress Size:   
 

                         Bust/Cup: inches/cup size
           Waist: inches
             Hips: inches
 

Hair Color: 
Hair Length: 
Eye Color: 
Skin Color: 
Ethnic Descent: 
Describe Any Tattoos: 
Describe Any Body Piercing: 
 

List any Cosmetic Surgery (Including Breast Augmentation):

 

Describe your Best Features:

 

General Comments: Describe yourself and interests. List hobbies, activities
and interesting comments about yourself:

 
 

List the name and phone number of one person
who can always find you 

 
 

Your URL: If you have a Web Page with your photos enter the full
path including the http:// etc.

 

REQUIRED:  Your E-Mail Address:

 

Manager's E-Mail Address: If you have an agent or manager please list their e-mail address here.
If you are self represented, please use your own e-mail address here also.