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
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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.