Woman Model Application

Name

Email Complete email address: i.e. name@domain.com
Address
City

State

Zip
Country

D.O.B.

(mm/dd/yyyy)
Phone area code + telephone number 
Media

Other

Sexual Orientation

Eye Color

Height

Weight

Race   & Skin Color
Hair Color Hair Style
Breast Size Waist Size
Describe any tattoos, piercings or other distinguishing marks:
Do you like to get fucked ? Yes NO 
Do you like anal sex? Yes NO   
Will  you perform bareback (no condoms) Yes NO   
Do you like to suck dick? Yes NO              Will you eat cum? Yes NO
Do you like to kiss? Yes NO
Do you like to have your nipples played with? Yes NO
Do you have any fetishes? (foot, water sports, bondage, leather, etc.)
Do you have any special talents?   
Why do you want to be in a porno video?  
When are you available?  
All the information given above is true and accurate. I understand that I alone  will be held responsible and  prosecuted to the fullest extent of the law if any of the above information is found to have been falsely given or to be untrue. I am at least 18 years old (21 IN AL, MS, NE, WY, AND ANY OTHER LOCATION WHERE 18 IS NOT THE AGE OF MAJORITY) and have read, understand and agree to be legally bound by this Agreement .
    By entering the uppercase letter "X" and submitting this form I accept the above stated terms & conditions.

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