Registration Form

* Indicates Required Field
* First Name: * Last Name:
* Address: * City: * State:
* Zip Code * Country: * Home Phone:
Work Phone: Cell: Fax:
Voicemail: * Email: Marital Status:
Sex: * Date of Birth: * Year   Age:  
Eye Color: Hair Color: Skin Tone:
Height: Feet    Inches  Weight:  lbs.    Ethnicity:
Women         Bust:   Cup:   Hips:   Waist:   Dress:   Shoe:
Men   Suit: Jacket
   Length
Pants: Waist   Inseam
    
Shirt: Neck     Sleeve
    
Shoe:
Child  Parent's Name:   Consent?: Sizes: Top     Bottom    

Please make the choices below to let us know what describes you best.
You may pick multiple areas in each category.
If you choose "Other" in any category, please elaborate at the bottom of this form.

Sports:
Baseball Football  Soccer  Hockey  Lacrosse  Rugby  Golf 
Tennis  Racquetball  Skating  Field/Track  Gymnastics  Acrobatics  Martial Arts 
Fencing  Archery  Marksmanship  Weapons  Sky Diving  Bungee Jumping  Rock Climbing 
Repelling  Motorcycle Riding  Automobile Racing  English Horseback  Western Horseback  Rodeo/Trick Riding  Snow Skiing 
Water Skiing  Sailing  Swimming  Diving  Scuba  Weight Lifting  Rollerblading 
Skateboarding Volleyball Boxing Juggling None Listed Other, Explain at 
Bottom of form 

Languages:
English  Japanese  Australian  Irish  Scottish  New Zealand  French 
French  Canadian  Cajun  Italian  Spanish  Middle  Eastern  Russian/Slavic  Other, Explain at  bottom of form 

Accents:
Southern  New York  Boston  Midwest 
Georgia/Carolina  Texas/Oklahoma  Carribean  None Listed 
Explain at bottom 

Mediums of Work:
Film  TV  Stage  Commercials  Print  Radio  Industrial 
Spokesperson  Night Club  Conventions/
Promotions 
Catalogs  Music Videos  Voice Overs  None Listed, Explain at Bottom

Act:
Actor Lead Support Character Extra Stand In Photo Double Other, Explain at Bottom

Model:
Print  Runway  Lifestyle  Fashion  Swimsuit 
Lingerie  Catalog  Plus Size  Other, Explain at Bottom 

Dance:
Ballet  Jazz  Ballroom  Break Dancing  Disco  Exotic  Tap 
Contemporary  Hip Hop  Club Dance  Modern  Latin  Other, Explain at Bottom 

Union:
Talent Level:
AFTRA SAG EQUITY None Aspiring Experienced Professional

Please tell us about your experience:
Let us know what type of training you have:

Musician:
Rock  Folk  Rap  Pop  Opera  Country 
Commerical  Jingle  Classical  Heavy  Metal  Alternative  Rock  Blues  R & B 
Soul  Reggae  Christian  Cultural  Relgious  Other, Explain at Bottom 

Instruments:
Piano  Guitar  Saxaphone  Clarinet  Drums  Other, Explain at Bottom 

Singer:
Rock  Folk  Rap  Pop  Opera  Country  Commerical  Jingle 
Yodeling  Classical  Heavy  Metal  Alternative  Rock  Barber  Shop  Blues  R & B 
Soul  Reggae  Children's  Cultural  Religious  Other, Explain at Bottom 

Distinguishing Marks:
Tatoos  Piercing  Unique Hair  Cuts  Unique Hair  Color  None  Listed  Other, Explain at  Bottom 

Professional Photos :
Pictures Portfolio Composites Headshots Photos You've Taken Other, Explain at Bottom

Current Employer/School   

Can we call you at work?      
What are the responsibilities of your job?
Have you been to other agencies?


Which agencies have you been to?
What did the agency tell you?
Are you serious about Acting?

Are you serious about modeling?

Have you discussed it with your family?

Do you have transportation?

How flexible is your time?:
When are you ready to start?
Do You Have A Recent Portfolio, Headshot or Composite?

Are You Happy With Your Pictures?


Who Was The Photographer?
When did you shoot?
Pagent Experience?


How Did You Hear About
Avenue Productions?
Why Do You Think You Will Be
A Successful Model or Actor?
Would you be interested in
an acting class or workshop?


Would you be interested in
becoming a part of our Web site?


If you answered "Other" or if you'd like to explain further about yourself
in areas we may have missed, Please enter the proper details here: