Agency of Artists & Promotions page 1 Office use file Nº: ___________________ Agency of Artists & Promotions Registry format for model Photography Contest First step Registration Process for the Application Process. http://agencyofartistsandpromotions.com/ Phone: 832-603-2497 Name: _________________________________________________________________________________________ Address: __________________________________________________ City: ___________ State: ____________ Zip code: _________ County: ___________ How far is your city from Houston: _____________________ Phone Number: _______________ Cellphone: ________________ Email: _______________________________ What is the best time to contact you: __________________________________________________________ If you are a minor name of parent or legal guardian. First and last name: ___________________________________________________________________________ Email: ___________________________________________________ Phone: ______________________________ Valid only for Casting Contest: March 31st 2015 through August 31st, 2015 Note: I have read and understand the agreement of the application and as a participant of the event or contest I understand, accept and agree to abide by all rules and decisions that are made based on the winner(s) as well understand that the respect to my colleagues is essential as I comprehend that winner(s) will be defined based on characteristics, personality, creativity and the Agency will make the final decision. I understand that this document is not a contract of employment or a promise. I pledge to respect the privacy of the conversation during the interview with the representative or the Agency, in addition to providing truthful and accurate information about my personal, employment and legal antecedents. I understand that artists and promotions agency, is not giving me a job because they are just an Agency to recruit people. (To participate in the Photo Contest) As a participant I understand that the Artist and Promotions Agency reserves the right of admission, as I understand it is important to keep the appointment that I will be given at the offices of the agency to process my application, after that understand that an evaluation of my skills and talents will be performed same talent and skills that will give you the opportunity to participate and in the future be able to achieve be part of the cast of talents of the Agency as well as be a professional service provider. ____________________________ Participant name ____________________________ participant signature ___________________ date Participant Identification number: _______________________________________________________________ _______________________________ parent or legal guardian _____________________________ signature __________________ date Parent or legal guardian identification number: _________________________________________________ The information provided by the participant is with the firm intention of seeing the authenticity, of the participant will be all confidential information only for the use of the Agency of Artists and Promotions and affiliate promoters. Our goal is to make a good choice of our talents or collaborators for the proper and good function of our Agency as an agency is not our intension to discriminate in any way against someone on their gender, religion, language or ethnicity.