MODELING A Z, LLC

1. Model Search Registration First Name of Contestant: _________________ Last Name of Contestant:_____________________ Home Address:______________________________________________________________________ ____________________________________________________________________________________ Student Age: __________ Grade:________ Name of school:__________________________________ Parent(s) Name:_________________________________________ Parent(s) Primary Phone Number:________________________ Secondary:____________________ Parent Email:_______________________________ ____________________________________ Are you entering the: Camper’s Division________ Open Division________ Camper/Open Division_______ All contestants must submit a picture that will be displayed in the Modeling A2Z Model Search Gallery for voting. All contestants and winner’s agree to have their picture displayed as part of the contest. All contestants, girl’s and boy’s must be 6-18 years of age. Only camper’s registered for a Modeling A2Z Summer Camp Session may enter the Camper’s Division. The Open Division is open to camper’s and non-camper’s (girl’s and boy’s age 6 –18). Once the Semi-Finalists have been selected by public vote, final judging by Modeling A2Z will take place on June 14th 2010. The winner’s will be selected and notified by Modeling A2Z. Winner’s agree to take part in a photo shoot to be displayed on the Modeling A2Z website and Frederick’s Child Magazine. Prizes will be distributed to each winner following the photo shoot. Contestant Photo’s will be uploaded within 48 hours and available for viewing and voting. Please e-mail photo to: modelsearch@modelinga2z.com (Please include your name) or Mail photo with registration to: ModelingA2Z * P.O. Box 150 * Adamstown, MD 21710 - 2 Tel. (301) 801-4556 MODELING AZ, LLC * P.O. Box 150 * Adamstown, MD 21710 * * Fax (301) 874-8657 www.modelinga2z.com