|
|
Shining Star Modeling Baby Application
|
Date:
|
Parents Name:
|
Address:
|
City, State, Zip:
|
Parents Home Phone:
|
Parents Cell Phone:
|
Best number to be reached at?
Home
Cell
|
Email Address:
|
Where did you hear about Shining Star Model & Talent:
|
Baby's Info
|
Childs Name:
|
Age:
|
Date of Birth:
|
Sex:
Female
Male
|
Does your child have a portfolio?
Yes
No
|
Would you like help in developing a professional portfolio for your child:
Yes
No
|
Do you understand that a young child/baby will need new pictures about every 4 months?
Yes
No
|
I agree to purchase a new portfolio package every 6 months as I understand my child is changing so much:
Yes
No ~ saying no will not allow your child to model
|
How much time are you willing to invest in helping your child? 1 ~ not much, 10 ~ as much as needed:
1
2
3
4
5
6
7
8
9
10
|
Please give a brief description of your child:
|
Why do you think your child would be a good model:
|
Is there anything we need to take into consideration about your child's medical history?
Yes
No
|
If yes, please explain:
|
Eye Color:
|
Does your child have hair?
Yes
No
|
Hair Color:
|
Skin Color:
Light Ivory
Ivory
Beige ~ Tan
Olive
Light Bronze
Bronze
Dark Bronze
|
Is your child crawling?
Yes
No
|
Is your child walking?
Yes
No
|
I understand that I must purchase a Portfolio Package. I have reviewed the Portfolio Package page and understand what each package comes with.
Yes
No
|
I have looked over the packages and I understand:
Yes
|
I understand that since my child is changing so much in these early years, I must purchase a new portfolio package every 4 to 6 months:
Yes
|
Out of the three portfolio packages, I have chosen package #:
#1 ~ $250.00
#2 ~ $475.00
#3 ~ $700.00
|
I would like Special package #4 ~ $500.00. A shoot with Internationally known Fashion Photographer Billy Pegram
Yes
No
|
Emergency Contacts:
|
Contact #1
|
Name:
|
Address:
|
City, State, Zip:
|
Home Phone:
|
Cell Phone:
|
Best number to be reached at:
Home
Cell
|
Email address:
|
Relationship:
|
Contact #2
|
Name:
|
Address:
|
City, State, Zip:
|
Home Phone:
|
Cell Phone:
|
Best number to be reached at:
Home
Cell
|
Email address:
|
Relationship:
|
I understand by typing my name below, I am agreeing that I am the child's legal parent or guardian and that everything I have stated in this application is true and correct to the best of my knowledge.
|
Todays Date:
|
Name of Child:
|
Name of Parent/Guardian:
|
Best number to be reached at:
|
Email address:
|
You must sumbit several pictures to the email address provided. (They don't have to be professional) Not submitting a picture will delay us getting back to you. Please submit to: shiningstarmodeling@yahoo.com
|
|
|
