Xtreme Talent & Entertainment Registration Form

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Please complete the registration form below. Non refundable $50 registration fee required.
Please Choose:

DancerModelActorArtistOther
Full Name*

First NameLast Name
Birth Date*

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Occupation
E-mail*
Phone Number*

Area CodePhone Number
Social Network Handles ex. Facebook, Twitter, Instagram
What other skills do you have?
Emergency Contact Name:
Emergency Contact Phone:
How would you describe yourself?
Ethnicity/Race
Height
Weight
Hair Color
Eye Color
WARDROBE
Top Size
Bottom Size
Shoe Size
What are your future goals?
Willing to travel?

YesNo
Please Upload a professional photos for our consideration.
Upload Photo*

Upload a File

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Experiences. List all awards, achievements, and training:
Upload Resume (Optional)

Upload a File

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I give Xtreme Talent & Entertainment Co. the right to use and release any pictures and videos taken of me for all commercials, advertisements, and promotional purposes that’s affiliated with Xtreme Talent & Entertainment Co.
By submitting my electronic signature below, I agree to not hold Xtreme Talent & Entertainment Co. liable in the event of an accident, injury, and /or death.

I certify that the information that I have provided is true to the best of my knowledge.
Electronic Signature (Last, First)*
NON REFUNDABLE registration/administration fee required*
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NONREFUNDABLE Registration/Administration Fee$50.00
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READY TO BE DISCOVERED?