Name________________________ Date of Birth _____________________________

Address______________________    Town__________________________________

Home #______________________    State/Zip________________________________

Work #______________________    Email___________________________________

Measurements

Height_________     Weight_________    Eyes________    Hair__________

             Bust________   Waist________    Hips_________   Pants __________

Dress________          Swimsuit________________      Shoe _________

Tattoos_________________________      Body Piercings______________________

Hobbies/Achievements_________________________________________________

Four Words That Describe You__________________________________________

Favorite Make-Up__________________ Clothing________________ Shampoo____________

Trade Shows____  Liquor Promotions____   Spokes Model____

Print___       Runway____      Swimwear____    Fitness_____

Dance_____  Commentary____    TV/Film_____

Are you under any modeling contracts?____________________________________________________

If Exclusive, with who?________________________________________________________________

 For valuable consideration, the receipt of which is hereby acknowledged, I hereby irrevocably consent to, and authorize the use and reproduction by you, and anyone authorized by you, of any and all photographs which you have taken of me or have arranged to be taken of me or which I have submitted to you, negative or positive, for any purpose whatsoever, and shall constitute your property, solely and completely, to use, reproduce, edit, exhibit, project, display, copyright, publish, sell, develop, circulate, and authorize dispose all without any further compensation to me.

 I hold Bikini & Fitness it's assigns, sponsors, and associates, including but not limited to, New York City Marketing & Promotions, Inc., blameless and without liability in connection with my participation in the Bikini & Fitness International Model Search and related events.  I do assume all responsibility for myself, my behavior, and my well being for the duration of and traveling to and from any of the Bikini & Fitness International Model Search events.

 I hereby warrant that I am 18 years of age and have the right to contract in my own name.  I have read all the above authorization, release, and agreement prior to it's execution, and I am fully familiar with the contents thereof.  This release shall be binding upon me and my heirs, legal representatives, and assigns.

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 Full Legal Name______________________________________________

 Address_____________________________________________________

 City/State____________________________________________________

 Phone_________________________Work#________________________

Date of Release_________________E-Mail_________________________

Drivers License Number ____________________________State_________

 Signature_____________________________________________________