VA Fashion Week Tickets & Payments

Rules & Regulations Pay Online

Name:
Email Address:
Phone:
City/State of residence
Age
Height
Gender	Female Male
Measurements
Clothing Sizes
Briefly list modeling experience
Are you currently represented by any agencies?	Yes No
If yes, please list:
Are you under any exclusive contract with any agency, manager, mother agency, or model scout?	Yes No
Do you agree to allow any photos or video images from this event to be used by Splash Model Management and VA Fashion Week?	Yes No
Do you agree to indemnify and hold harmless Ann Leister Management, LLC and all company representatives from any and all claims which may result directly or indirectly out of or in the course of the performance of any assignments secured by the agency including VA Fashion Week and the model competition?	Yes No
I have read the rules and regulations of this competition and agree to abide by them.	Yes No

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