Model & Brand Ambassador Intake

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Intake Type*

Model

Brand Ambassador

Both

First name*

Last name*

Email*

Birthday*

Month

Day

Year

I confirm I am 18 or older.

Phone*

Instagram Username*

Instagram Follower Count*

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

Emergency Contact*

Height

Weight

Hair Color

Eye Color

Shoe Size

Dress Size

Shirt Size

Pants Size

I confirm all information I provided is accurate.

I agree to RareHouse Digital Productions Terms and Conditions

I agree to RareHouse Digital Productions Studio Policy and No Children Studio Policy.

I agree to RareHouse Digital Productions Portfolio and Promotional Usage Terms

Signature*

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