Become a Model

First Name:
Last Name:
Sex:
Phone (home):
Phone (work):
Phone (cell):
Address:
Suite:
City:
Postal / Zip:
Province / State:
E-mail:
Agency:
Agent Name:
Agent Phone:
How willing are you to cut your hair?
Please indicate your hair type and length by checking all that apply:
  
  
  
  
  
  
  
  
  
  
  
  
Hair colour:
Eye Colour:
Height:
Dress Size:
Pant Size:
Shoe Size:
Please check the areas you have experience in:
  
  
  
Comments:
Photo:
(hair down, taken within the last 3 months)
I agree with the Fiorio Model Release Terms: