Registration Form






STAFF NO:

NAME:
MOBILE #
HOME #:
ADDRESS:

ZIP:
DATE OF BIRTH:

Personal Details
HEIGHT:
WAIST:
BUST:                                                  
HIPS:
INSIDE LEG:
CHEST:

Further Information:  yes or no
DANCER:
SINGER:
INLINE SKATER:
EVENT MANAGER:
CAR OWNER:

Languages
FLUENT:
OTHER:

Other Agency Information
AGENCY:
AGENCY:
AGENCY:        
DATE OF APPLICATION:

Personal Details

TEL NO.

OTHER:

FAX:

EMAIL:
Personal Details

HAIR COLOUR:
EYE COLOUR:
HEAD:
HAND:
SHOE:
NECK:

MODEL:
ACTOR/ACTRESS:
PRESENTER:
EVENT DRIVER/RIGGER:
FOOD HYGIENE CERT:

Other Agency Information
DAILY RATE:
DAILY RATE:

What types of work would you be interested
in
(check where appropriate)      
                         
       


SAMPLING ------------------     

LIQUOR SAMPLING  -----    

LEAFLETTING--------------

MERCHANDISING---------

TRADESHOW----------------

MODELING-------------------


PRESENTING----------------

DRIVING WORK------------
TOURS--------------------------
MAIN EVENT PRODUCTIONS INC.
1212 NAPER BLVD SUITE 119-324
NAPERVILLE, IL 60540
PHONE 630.546.6871
YES       NO
Please print out this page and fill in the form as below before sending it with a recent
photo/resume to the address at the bottom of this page.