Exclusive Modelz Magazine Registration Form
Please Complete Form To Confirm Your RSVP!
Sign in to Google to save your progress. Learn more
Email *
Name/Title/Profession *
Market/City *
Bio *
Mobile Number *
List Sites & Social Media Names/Pages *
Who recommended you; How did you hear about us?; (PLEASE LIST ANY NAMES AND/OR PROMO CODES YOU MAY HAVE)   *
Age *
Gender *
Race *
Height, Weight, Chest, Waist, Hips, Eye Color, Hair Color, Shirt Size, Pants Size, Shoe Size *
Any Tatts, Peircings or Marks? *
Interested in traveling? *
Do you have reliable transportation? *
Check available days; *
Interested Campaign *
What do you want your promo code to be in order to receive your commission? *
What day will you be available to schedule your next follow up? *
What time between 10am-8pm will you be available to schedule your next follow up? *
Do you know any brands or influencers who might be interested in branding/marketing and/or joining our tour? If so list below: *
List any specific confirmed tour dates/locations or events/activities you're interested in registering for; *
By submitting this document, I hereby grant permission to the rights of my image, likeness and sound of my voice as recorded on audio or video tape without payment or any other consideration unless negotiated by all parties. I understand that my image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording unless negotiated with all parties. I also understand that this material may be used in diverse educational settings within an unrestricted geographic area.Photographic, audio or video recordings may be used for the following purposes:●  Company Advertisement●  Presentations●  Educational presentations or courses●  Informational presentations●  Online educational courses●  Promotional videos; By agreeing to this release I understand this permission signifies that photographic or video recordings of me may be electronically displayed via the Internet or in the public educational setting.I will be consulted about the use of the photographs or video recording for any purpose other than those listed above.There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed.This release applies to photographic, audio or video recordings collected as part of the sessions listed on this document only.I also understand that this is a working relationship which has been or may be established that Exclusive Modelz Magazine may disclose or deliver Recipient documents, components, parts, information, drawings, data, sketches, plans programs, specifications, techniques, processes, software, inventions and other materials, both written and oral, of a secret, confidential or proprietary nature, including without limitation any and all information relating to marketing, finance, forecasts, invention, research, design or development of information system and any supportive or incidental subsystems, and any and all subject matter claimed in or disclosed by any patent application prepared or filed by or behalf of by Exclusive Modelz Magazine, in any jurisdiction, and any amendments or supplements thereto (collectively, “Proprietary Information”); andWHEREAS, Exclusive Modelz desires to assure that the confidentiality of any Proprietary Information is maintained. *
A copy of your responses will be emailed to the address you provided.
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy