REGISTRATION FORM Fiche :

Name First name

Address City

Postal code Date of birth

Telephone home Answering machine

Telephone work Ext.

Cellular Answering machine

Fax Email

Website Soc. sec. number

Passeport Ethnic background

Race Residency

Nationality Spoken languages

With accent

Union With accent

Person to reach in case of emergency Telephone Tie Are you employed? Occupation Full time or part time Do you own a car? Model Year Color

Driving permit? Class

Do you have any pets? What kind?

Do you have children under 18? Age / gender

Would you do Lingerie Swimsuit Nude body double Patial nudity Full nudity

Height Weight Chest Waste

Hips Hat Jacket Shirt (neck size) Arm lenth

Pants Inseam Dress size Blouse

Skirt Shoe size Eyes Hair color

Hair lenth Visible highlights Mustache Beard

Would you shave your beard? Would you cut you hair?

Would you shave your head? Would you die your hair?

Are you a twin?

Do you wear glasses? Why?

Do you wear contact lenses? Why?

Do you smoke? Are you sensitive to second-hand smoke?

Do you have allergies? Do you have phobias?

Do you have disabilities?

Do you have special characteristics : tattoos, scars, piercings, apparent ou not?

!ǾŀƛƭŀōƭŜ Commercials Films Extra Student films Events

Would you turn outside Montreal driving on your own 10$/h Turning outside in winter time At night

Artistic performance experience

Legal gardian Artist (you)

Date Total rep. Administration

Aerobics Water-skiing Have you ever been a... Harmonica Archery Windsurfing Bartender Harp Badminton Cheerleader Oboe Baseball Cross-country skiing Dealer (Croupier) Piano Basketball Doctor Recorder Billiard Exotic dancer Sax Body-building Acrobatics Fireman Spoons Bowling Baton twirling Hair stylist Trombone Boxing Clown Lifeguard Trompet Canoeing Cross dressing Lumberjack Tuba Cricket Contorsionist Make-up artist Violin Curling Fire eater Masseur Cycling High-wire/tight rope Nurse Languages spoken Impro. comedy Paramedic English Diving Log rolling Photographer French Football Juggler Policeman French (acadian ) Rugby Impressionist Referee Arabic Frisbee Magician Army training Chinese (mandarin) Golf Mime Fire arms Chinese (cantonese) Gymnastics Sign language Security guard German Stand-up comedy Waiter/waitress Greek Hockey Stilt walking Dj Hebrew Ice skating Synchronized swimming Chef Indi Jet-skiing Trampoline Other : Inuit Lacrosse Trapeze flying or fiked Italian Martial arts (karate) Ventriloquist Singing style Japonese

Unicyclist Broadway Native Indian Martial arts (tae kwon) Yoga Calypso Nordic Martial arts (tai chi) Other : Country Portugese Folk Russian Mountain-biking 5ŀƴŎŜ ǎƪƛƭƭǎ Jazz Slavic Ballet (classical) Gospel /soul Spanish Parachuting Ballroom (social dancing) Opera Ukranian Ping pong Belly Pop Yiddish Polo Break Reggae Other : Power lifting Disco Rock Dialects / accents Raquetball Ethnic : Rap Australian Riding (bare back) Exotic (nude) Vocal range British Riding (English) Flamenco Alto Cockney Riding (jumping) Jazz Baritone East Indian Riding (western) Latin Bass French ( Quebec )

Modern Contralto French ( acadian ) Rock n’ roll Soprano French ( France ) Square Tenor German

Scooter Tap Mezzo Irish

Hip hop Bass-baritone Other

Italian Other : : Jewish

Skateboarding Mexican Skiing Driving skills Native Indian Ski jumping Actor Automatic New England (Boston) Sky diving Extra Standard shift New Jersey Snooker Announcer Boat New York Snorkeling Cartoonist Bus Russian Snowboarding Choreographer Sea-doo Scandinavian Soccer Dancer Ski-doo Scottish Squash Director Farm machinery Southern (american) Surfing Swimming

Host (MC) Heavy equipment Spanish (latino) Look alike: Licensed pilot Spanish (castillian)

Swordsman (Foil) Model Motorcycle Other : Swordsman (Sabre) Swordsman

Musician Tractor trailor (kendo) Narrator Truck, size: Do you have…

Swordsman (broadsword) Panelist Fork lift Gala gown Tennis Puppeteer Instrumental skills Tuxedo

Singer Accordeon Suit jacket Volleyball Sportscaster Cello Ethnic clothing Water polo Stunt performer Clarinet Specify:

Track and field

T.V. reporter Congas Uniform Voice specialist Drums Spécifiez: Write Flute Costume: Others: Guitar Specify :

Specify which corresponds to your skills using the choices offered. A= Amateur P=Professional Y=Yes N=No

Roller skating

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