djlasha.com – Model Info
P.O. Box 14002
Kansas City, MO 64152
Office: 816-808-9325
Email La Sha’ Gray, Internet & Model Division: Models@djlasha.com
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You may print this form to submit by mail or click here to submit on line:
Important Contact Information & Telephone Numbers
TODAYS DATE: ________________ REFERRED BY: ________________________________
Full Legal Name: Stage/Alias Name:
Address: City:
State: Zip:
Home: Cell:
Other: Email Address:
Personal Website Address:
Personal Information:
Age: D.O.B. Race: Complexion:
Height: Weight:
Eye Color: Hair Color:
Shoe Size: Dress Size:
Swimsuit Top Size: Swimsuit Bottom Size:
Jean Size: Blouse Size:
Hat Size:
Personal Stats:
Bust: Cup Size:
Waist: Hips:
Tattoos? How Many, How Big & Where?
Body Piercing? How Many & Where?
Submit photos of any tatoos and/or piercings
PLEASE ATTACH THE FOLLOWING PHOTOS
One Head Shot (complete face and bust shot)
1/2, 3/4, full legnth and casual
Bikini shots (not for under age 18)
One Full Body - Front View - Color Photo in Bikini – From Head to Feet
One Full Body - Side View – Color Photo – Profile of Entire Body
One Full Body - Rear View – Color Photo – From Head to Just Below the Knee