Child's details
First Name:
Last Name:
Birthdate:
Year Month Day
Gender:
Male Female
Height:
cmWeight: kgWaist: cm Weight Conversion Chart
Hair Colour:
Brown Blonde Black Auburn
Eye Colour:
Brown Blue Black Green Hazel
Interests:
Acting Singing Dancing Voice-over Sports Other
Ethnic Background:
Previous modeling or acting experience (please include classes and workshops):
 
Parent’s details
 
First Name:
Last Name:
Address:
Home Telephone:
Mobile:
Fax (if applicable):
Email Address:
Upload photos include previous work or one full body shot and one head shot (each file less than 1 mb and file format: jpg)
Photo1:
 
Photo2:
 
Photo3:
 
Photo4:
 
Enter verification code:
© Peanut Butter 'n Jelly Model and Talent Management. All pictures are the property of Peanut Butter 'n Jelly Model and Talent Management.