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Confidence Through Modeling Intake Form
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* Indicates required question
Please provide your full name.
*
Your answer
Age Range
*
Under 16
16-18
18-21
21-25
25 or older
Do you have any modeling experience?
*
Yes
No
Are you located in the United States
*
Yes
No
Other:
Are you signed with an agency?
*
Yes
No
Agency Name and Location (N/A if not applicable)
*
Your answer
Agency Website / Social Media (N/A if not applicable)
*
Your answer
Have you taken modeling classes before?
*
Yes
No
Who or what agency administered your previous modeling classes? (N/A if not applicable)
*
Your answer
What are your goals for this modeling class?
*
Your answer
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