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New User Registration
Login Details
This will be used as the username & password to gain access to the site. For Parents/Guardians of young children this should be
your
email
Email
(This will be your login name)
*
Password
(Minimum 6 Characters)
*
Re-Enter Password
*
Registrants Forename
(This is
your
first name or how you would like to be addressed in correspondence)
*
Security
(for password retrieval)
Choose Secret Question
Mother's Maiden name
Place of Birth
Pet's Name
Memorable Place
First School
Favourite Pop Group
Response:
Model/Actor Details
Please enter details of the
FIRST
model/actor to be registered to this user (Not your details if you are a Parent/Guardian). You may add further models after you have entered this, or at any time when you login to the site
Forename
*
Surname
*
Date of Birth
Please ensure accuracy as clients often search on age ranges
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1933
1932
1931
1930
1929
1928
1927
Gender
(Mandatory)
Female
Male
Registration
Type
(Mandatory)
Model
Actor
Both
Brief description about the person you wish to apply for
(For assessment purposes only)
On acceptance you will be able to login and update your full profile and portfolio for clients to see.
Geographic Details
Nationality
Select
British
Afghanistani
Albanian
Algerian
American Samoan
Andorran
Angolan
Antiguan
Azerbaijani
Argentinian
Australian
Austrian
Bahamas
Bahrain
Bangladeshi
Armenian
Barbadian
Belgian
Bermudan
Bhutani
Bolivian
Bosnian
Botswana
Bouvet Island
Brazilian
Belize
Solomon Islander
Virgin Islander
Brunei Darussalam
Bulgarian
Myanmar (Burmese)
Burundian
Belarusian
Cambodian
Cameroon
Canadian
Cayman Islander
Central African Republic
Sri Lankan
Chad
Chilian
Chinese
Taiwanese
Colombian
Comoros
Mayotte
Congo
Congo, the Democratic
Cook Islander
Costa Rican
Croatian
Cuban
Cyprus
Czech Republican
Benin
Danish
Dominican
Dominican Republic
Ecuadorian
El Salvador
Equatorial Guinea
Ethiopian
Eritrean
Estonian
Faroe Islander
Falkland Islander
South Georgian
Fijian
Finnish
Åland Islander
French
French Guianan
French Polynesian
French Southern Territorian
Djibouti
Gabonese
Georgian
Gambian
Palestinian
German
Ghanan
Kiribati
Greek
Greenlander
Grenadian
Guadeloupe
Guamese
Guatemalan
Guinea
Guyanan
Haitian
Heard Islander
Vatican
Honduran
Hong Kong
Hungarian
Icelandic
Indian
Indonesian
Iranian
Iraqi
Irish
Israeli
Italian
Côte dIvoire
Jamaican
Japanese
Kazakhstani
Jordanian
Kenyan
Korean
Kuwaiti
Kyrgyzstani
Laoese
Lebanese
Lesothon
Latvian
Liberian
Libyan
Liechtensteinian
Lithuanian
Luxembourg
Macao
Madagascan
Malawi
Malaysian
Maldivian
Malian
Maltese
Martinique
Mauritanian
Mauritius
Mexican
Mongolian
Moldovan
Montenegro
Montserrat
Moroccan
Mozambique
Oman
Namibian
Nauru
Nepalese
Dutch
Aruban
New Caledonian
Vanuatu
New Zealander
Nicaraguan
Niger
Nigerian
Niue
Norfolk Island
Norway
Northern Mariana Islan
Micronesia, Federated
Marshall Islander
Palau
Pakistani
Panamaian
Papua New Guinean
Paraguayan
Peruvian
Philippine
Pitcairn
Polish
Portugese
Guinea-Bissau
Timor-Leste
Puerto Rican
Qatar
Réunion
Romanian
Russian
Rwandan
Saint Helena
Saint Kitts and Nevis
Anguilla
Saint Lucia
San Marino
Saudi Arabian
Senegali
Serbian
Seychelles
Sierra Leone
Singapore
Slovakian
Vietnamese
Slovenian
Somalian
South African
Zimbabwian
Spanish
Western Sahara
Sudanese
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Tajikistani
Thai
Togo
Tokelau
Tonga
Trinidad and Tobago
United Arab Emirate
Tunisian
Turkish
Turkmenistani
Turks and Caicos Islan
Tuvalu
Ugandan
Ukrainian
Macedonian
Egyptian
Tanzanian
American
Virgin Islander
Burkina Faso
Uruguayan
Uzbekistani
Venezuelian
Samoan
Yemenese
Zambian
*
Region
Select Region
Scotland
North East
North West
Midlands
Wales
East
South
Yorkshire
South West
Northern Ireland
Channel Islands
South East
*
Available Area
Select Available Area
Local Only
UK
Europe
Worldwide
Please tell us where you would be available to travel
Images
Please upload at least one photo of the model for assessment purposes, if accepted you will be able to upload more photos by logging in to the system
Main Profile Image
*
Image 1
Image 2
Image 3
Image 4
Note:
Utopia currently place a
3Mb
limit on web viewable images, this is to ensure your details are displayed quickly online, if you do not have image editing software installed you may compress your images free at
Picture Resizer
or download a free image editor (
Picasa 3
from Google is able to do this using Picnik).
We suggest that your image is optimized to retain the original proportions
NEW!!
Picture Resizing Tool
I Accept the Terms & Conditions
*
By submitting this application I agree that on acceptance into the agency data and images can be stored by the agency for the use of promoting myself/my child to prospective clients. No contact details will be available to any other party and my details will be held by the agency in order to contact me but will not be passed on to any third party without my prior consent.
Click here for the
full Terms & Conditions
(opens in a new window)
.
Copyright 2012 Utopia Model Management, All Rights Reserved.
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