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* First Name: * Last Name: * Address: * City: * State: * Zip Code * Country: * Home Phone: Work Phone: Pager: Fax: Voicemail: * Email: Marital Status: Sex: * Date of Birth: January February March April May June July August September October November December 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 * Year   Age:   Choose Baby 1 to 7 8 to 12 Early Teen Mid Teen Late Teen Early 20s Mid 20s Late 20s Early 30s Mid 30s Late 30s Early 40s Mid 40s Late 40s 50 to 60 60 Plus Eye Color: Choose Brown Blue Green Hazel Black Other Hair Color: Choose Blonde Bright Blonde Med. Blonde Dirty Blonde Light Brown Med. Brown Dark Brown Black Auburn Light Red Med. Red Dark Red Straw. Blonde Salt/Pepper Grey Bald Other Skin Tone: Choose Light Medium Ruddy Tanned Dark Black Other Height: Feet    Inches  Weight:  lbs.    Ethnicity: Choose Caucasian Afro American Hispanic European Asian Oriental Native Amer. Middle Eastern Other Women         Bust:   Cup:   Hips:   Waist:   Dress:   Shoe: Men   Suit: Jacket    Length Choose Extra Short Short Regular Long Extra Long Other Pants: Waist   Inseam      Shirt: Neck     Sleeve      Shoe: Child  Parent's Name:   Consent?: Choose Yes No 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?       Choose One Yes No What are the responsibilities of your job? Have you been to other agencies? Choose One Yes No Which agencies have you been to? What did the agency tell you? Are you serious about Acting? Choose One Yes No Are you serious about modeling? Choose One Yes No Have you discussed it with your family? Choose One Yes No Do you have transportation? Choose One Yes No How flexible is your time?: When are you ready to start? Do You Have A Recent Portfolio, Headshot or Composite? Choose One Yes No Are You Happy With Your Pictures? Choose One Yes No Who Was The Photographer? When did you shoot? Pagent Experience? Choose One Yes No 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? Choose One Yes No Would you be interested in becoming a part of our Web site? Choose One Yes No 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: