Fill out this form ONLY!
*If you are a Minor (Under 18) Female.
*If you are serious about pursuing a career in modeling.
*If you are a minor you MUST have your parents permission PRIOR to filling out this form!

Welcome to Taylor Made Image's Shoot Request Form. This will provide the information I need to consider setting up a shoot. This will also give me some idea on where to start thinking about ways to shoot you. Please note that ALL of the information will be kept confidential. The ONLY info used will be as on the other pages hosted for models on my site, nothing more. If you answer anything with an "other" or anything that may not be clear, please explain in the comments.
(Everything must be filled out UNLESS you are 13 or younger, then your PARENTS must be the one to contact me)

Your Name
(for the automatic return email)

Your Email address
(for automatic return email)
Do you have parental consent?
Yes No

Contact Information

First Name

Last Name

OMP (One Model Place) Number (if any)

MM (Model Mayhem) Number (if any)

OTS (One Talent Source) Number (if any)

Parents Name

Email Address

Street Address

Street Address(additional)

Mailing Address (if different)

Mailing Address (additional)

City
State
Zip

Please include Area Code with all Phone Numbers.
(Use this format: 123-456-7890)

Home Phone
Work Phone
Cell Phone
Pager

List any Other ways to Contact you for shoot (if any)
(i.e. Fax Numbers, Friends or Relatives, etc.)


Personal Statistics

Age
Date of Birth
Nationality

Hair Color Hair Length Eye Color
Skin Color/Tone
Height
Weight

Bust Size
Waist
Hips
Dress Size
Shoe Size

Can look the age range of:

Describe Any Tattoos:

Describe Any Body Piercings: (to include ears)

List any Cosmetic Surgery or Scars (Including Breast Augmentation):

Best Feature(s)

Additional Personal Information

Occupation

Parent's Name who will escort you to shoot (i.e. Jane Smith, Mother)

Personal Web Site URL (if you have one)

List any Other Personal Info that might be useful
to do a shoot with you.

(If I contacted you thru a modeling site, please indicate so and your number)

Work Related Infromation

Types of Modeling you are willing to do during this proposed shoot or looks that you need:
(Check all that apply)
The more flexible you will be, the easier it will be for me to come up with ideas.

Casual Wear(Print/Calendar) Editorial Swimwear/Bikini Glamour (Fashion)
Lingerie Other Looks (describe below) All of the above

Other Looks:

Are you willing to "prints for time" test shoots?

Yes No

Are you willing to travel for test shoots?

Yes No

Would there be a problem with possibly VERY short notice for test shoots?
(Possibly 2 days or less)

Yes No

Experience Level:

Do you have an up-to-date Portfolio?

Yes No

List any Past Modeling, Acting, Pagent, Singing or Contest Projects or Schools


List any of your Interests and Hobbies that might help us make great pictures


After all of the categories have been filled to the best of your abilities please hit the submit application button. Only hit the submit button ONCE! The form is being submitted to me by email.

Once you have accomplished the application process, please email me a photo of yourself so that I have some idea of what you look like. Snapshots or polaroids are fine. Please send your photo (in .jpg format,up to 50kb in file size). If you do not have any photos scanned, you can mail them to us at the address listed below. This is for UN-Scanned pictures ONLY!

For "Snail-Mailed" Pictures, send them to:
Taylor Made Images
2406 Dovehill Dr.
Austin, Texas 78744