Freelance Web Designer

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Model Screening

Interested in modeling for photos or videos? Please provide as much information as possible in the form below to be presented to my clients for consideration in upcoming photo shoots.

Currently only models in the area of Palo Alto, California are being considered.

Model Contact Form
  1. (required)
  2. (required)
  3. Date of Birth
  4. (required)
  5. (required)
  6. (required)
  7. Can you show a photo I.D. such as a drivers license or passport?
  8. What's Your Gender?
  9. (required)
  10. (required)
  11. (required)
  12. (required)
  13. (required)
  14. Height in feet and inches
  15. (required)
  16. (required)
  17. Have you done any photo or video modeling work previously?
  18. If needed, can you or someone you bring take care of your own hairstyling, makeup, and wardrobe needs?
  19. (required)
  20. (valid email required)
  21. (required)
  22. (required)
  23. (required)
  24. (required)
  25. Note: A social security number or taxpayer I.D. will be required for any annual payment amounts total $650 or more.
  26. Consent Agreement: I am willing and able to sign a model release form consenting to assign permission to license and use Content (photographs, film, video, audio or other recoding still or moving) taken of me in any media (print, digital, television, radio) for any purpose (except defamatory) which my include, among others, advertising, artworks, exhibits, promotions, marketing and packaging for any product or service. Additionally agree that the Content may be combined with other images, text, graphics, video, audio, works; and may be cropped, altered or modified. I agree that I have no rights to the Content, and all rights to the Content belong to the Photographer/Videographer/Illustrator/Designer and Assigns and Licensees. I acknowledge and agree that I have no further right to additional consideration or accounting, and that I will make no further claim for any reason to Photographer / Videographer or Assigns. I understand my personal information will not be made publicly available but may be used directly in relation to the licensing and documentation of the Content where necessary.
 

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