BELLISSIME Models Mgmt.
  2413 Atlantic Avenue

  Brooklyn, NY.11233
  (347) 576-9952
Salvatore Vergone
Talent-scout, Training, Photographer, Promoter & Mgmt.
Models - Actors - Dancers

If wish work with us please print or copy this application form, complete with your information and return by attached e-mail to this emails address: NYSTalents@aol.com
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Full Name of the talent ____________________________________________________________________________

Address: ________________________________________________ City _________________ State ____ Zip _____

Home Number: (_____) _____-______________ E-mail Address: __________________________________________

Web Site: ______________________________________________________________________________________

Employer/School _____________________________________________________ Work/School Hours ___________

Must Complete by Parents. (Underage talents)

Father’s Name: ___________________________________________________ Phone #. (_____) ____-___________

Mother’s Name: ___________________________________________________ Phone #. (_____) ____-___________

Talent Date Birth: _____/_____/_____ Soc. Sec. No. ________________________________________________

School Attending: ______________________________________________________ Grade: ____________________

Stats
Age: _________ d.o.b ___/___/___
Height: ______________________
Weighr: _____________________
Hair Color: ___________________
Eyes Color: __________________
Male
Shoe: ______________________
Shirt: ______________________
Jacket: _____________________
Pants (waist): _________________
In Seam: ____________________
Female
Bust: ______________________
Hips: ______________________
Waist: _____________________
Dress: _____________________
Shoe: ______________________

Where so you see yourself in a year from now ? ________________________________________________________

________________________________________________________________________________________________

Describe (only) what you are comfortable for: (Please circle or bold) - Runway ___ Trade Show Hosting ___ Spokesmodel ___ Hands Feet Legs, etc ___ Print (Editorial) ___ Print (Advertising) ___ Print (Fitness) ___  Videos ___  Acting ___  Dancing ___

Assignment you’ll feel comfortable considering:  Elegant-dress____  Casual dress____  Sport____ Swimwear____  Fitness____  Lingerie____  Sheer/See Thru Clothing____

Modeling Experience: _____________________________________________________________________________

Acting Experience: ________________________________________________________________________________

Photography Experience ___________________________________________________________________________

Do you have (circle that apply): Portfolio ____ Composite ____ Video ____ Audio Tape ____

Have you had modeling training ? YES ____ NO ____

If you do, where _______________________________________________________________ When ____/____/____

Tell us about yourself: _____________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

Which days of the week you are available for shooting: Mon___ Tue___ Wed___ Thu___ Fri___ Sat___ Sun___ and what are the best hours of this days, __AM to______  /  __PM to______

I, or as underage parent/legal guardian of ______________________________________ agree to the above, and personally join in the warranties and representation set forth above. I sign this document to signify my agreement, and I agree to indemnify and hold harmless the sponsor with respect to any claims which the minor may make as a result of the exercise by the Sponsor of their rights hereunder.

Adult/Underage Signature____________________________________________________________________ Date ____/____/____

Only Underage guardian signature _____________________________________________________________
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Email:  NYSTalents@aol.com


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