Intake Form (Child)
Complete the short form below, and don't hesitate to reach out if you have any questions.
Parent's Full Name
First Name
Last Name
Parent's Email
example@website.com
Parent's Phone
(000) 000-0000
Location
City
Province
Child's Full Name
First Name
Last Name
Child's Birthdate
-
Month
-
Day
Year
Date Picker Icon
Child's Height (cm)
Height in centimetres
Child's Hair Colour
Child's Eye Colour
If you have access to professional photos please upload them below. If not, please simply take and upload two images of your child - preferably on a plain white background.
Child's Image - Headshot
Browse Files
Drag and drop files here
Choose a file
Please upload a clear photo of your child's face from the shoulders up.
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Child's Image - Full Portrait
Browse Files
Drag and drop files here
Choose a file
Please upload a clear photo of your child showing their full body. Be sure to include mobility and accessibility aids if applicable (wheelchair, walker, hearing aids, glasses, prosthetics, etc.)
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Child's Disability & Accommodations
If applicable, please give a brief description of your child's disability or diagnosis, and/or any accommodation or access requirements.
Child's Experience
If applicable, please describe any past modelling experience - including past or current agencies that your child has been involved with.
Social Media
If applicable, please include any social media handles or links (Instagram, Facebook, etc.)
Comments
Add any additional information you think we should know about your child!
How did you hear about Kello Inclusive?
Thank you! And please note - upon submitting, you should see a confirmation screen, however, we have heard that sometimes you may instead just see a blank screen. We hope to resolve this soon, but in the meantime, we do still receive the submission! We will follow up with you typically within a couple days after submission.
Submit
Should be Empty: