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Registration form

First Name*
Last Name*
Year of birth*
City*
State*
Nation*
Telephone*
Email*
Height*
Hair*
Breast (chest if man):*
Unit of measure: centimeters
Waist:*
Unit of measure: centimeters
Hip:*
Unit of measure: centimeters
Size:*
Unit of measure: centimeters
Eye color:*
Shoe sizes*
Spoken languages:*
Images gallery*
Allowed formats: jpg, gif, png | Max size: 5Mb | Max number: 10
Drop files here or
Accepted file types: jpg, gif, png, jpeg.
Curriculum (optional)
Allowed formats: pdf, doc | Max size: 2Mb
Accepted file types: pdf, doc.
Are data provided about a minor (under the age of 18)?*
Specify if data provided are about a minor; in that case you have to sign an additional specific waiver for the data processing of a minor under the age of 18.
- NO
- YES
NOTA BENE
In the end of the subscription the agency will contact you (by phone call or e-mail) for the compilation of a waiver for the data processing of a minor under the age of 18; the document will be subsequently signed by a parent and sent back to the agency.
Waiver*
I authorize
Glamour Agency, located in Via delle Industrie, 7 Silea (TV), to the publication of my images on the website www.glamouragency.net and to carry out castings.
I agree to lift Glamour Agency from any legal or civil responsibility, whenever the images I agreed to the publication are subject to copyright, image rights and used by third parties.
Hereby may be withdrawn at any time through a written notification that has to be sent by post or e-mail.
Glamour Agency, in addition, commits not to use any of the material provided, that could be defined as undignified or undermining the reputation of the subject of photographs taken.
I ought to declare I am over eighteen and that I am aware of the Personal Data Protection Code – Legislative Decree n. 196/2003 and any subsequent modifications.
Newsletter – Initiatives notifications, courses and events organized by the Agency
Consent to the processing of personal data*
I endorse the Privacy Policy.
I ought to declare I read the Privacy Policy and I authorize Glamour Agency to the processing of personal data.
Phone
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