“The Golden Splash” Fashion Show
Model Registration
Full Name
*
First Name
Last Name
Birthdate
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email
*
Confirmation Email
example@example.com
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
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Maine
Maryland
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Ohio
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South Carolina
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Tennessee
Texas
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Wisconsin
Wyoming
State
Zip Code
Phone Number
*
-
Area Code
Phone Number
Gender
*
Please Select
Male
Female
Non-binary
Height
*
Are you comfortable with modeling swimwear?
*
Yes
No
It depends on what days
Are willing to dedicate time for show rehearsal without missing 2 or more?
*
Yes
No
Do you have any modeling experience? If yes, please describe.
*
What or whom inspired you to model?
*
Please upload 1 Headshot & 1 Full Body Photo
*
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