Application
PD Management
Child's Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Current Height
*
Hair Colour & Length
*
Eye Colour
*
Ethnicity
*
Language / Accent
*
Guardian's name
*
First Name
Last Name
Contact Number
*
Email Address
*
Address
*
Council for child licensing
*
Additional Information and Performance Skills
*
Current Agent
*
Spotlight Registered
*
Yes
No
Please upload a current clear photo Here
*
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