DISABLED & SPECIAL NEEDS
 CHILDREN

Special Needs Kids.. Babies.. Models.. Extras & Actors

Juliet Adams Agency.. Committed to Children
Please read the following information carefully
REF:   0Form 060606PMS/AD/EAPFM//06/2006 
APPLICATION TO JOIN JULIET ADAMS
DISABLED & SPECIAL NEEDS
CHILDREN
 APPLICATION FORM

PLEASE COMPLETE A FORM FOR EACH SPECIAL NEEDS APPLICATION

PARENTS...At this stage you are making an application to join.  Once we have received your application, if all goes well, we will then offer you a place on our books.

YOUR NAME & CONTACT DETAILS

__PARENT'S NAME______________________________________

_CONTACT NUMBERS__________________________________

_CHILD'S NAME 

___________________________________________________________

PLEASE FULLY DESCRIBE CHILD'S DISABILITY 

___________________________________________________________

IS YOUR CHILD VISIBLY DISABLED.. yes.........  no..........

PARENTS Please read the following terms and conditions  information carefully
CLICK FOR TERMS & CONDITIONS:
http://www.julietadams.co.uk/terms%20and%20conditions%20adults.htm

You must agree to the terms before submitting the form. 
All application received are deemed to have read and understood the terms and conditions.


 I wish to join Juliet Adams Agency
I wish to attend an interview:________

>
Childs Full Name:_____________________________________
Disability:____________________________________________
Nationality::________________________________
Ethnic Look  and Colouring::_______________________________
Skin Quality Complexion.. ________________________________
Age:_____________________________________
Sex:_____________________________________
Date of Birth:_______________________________
 
Eye Colour:_______________________________
Hair Colour:_______________________________
 
Weight:_____________________________________
Build:_____________________________________
 

OLDER GIRLS/TEENS/WOMEN

Bust:________________________________
Waist:_____________________________________
Hips:_____________________________________
Dress Size:_______________________________
>
OLDER BOYS/TEENS/MEN:____________________________
Chest:________________________________
Waist:_____________________________________
Inside Leg:_____________________________________
Suit Size:_______________________________
Collar:_______________________________
>
 
Level of Experience
________:NEW FACE Tick here if you are a new to show business or just getting started.
________:PROFESSIONAL Tick here if you are a professional.  Please also send a copy of your CV and/or additional information about you.
Special Skills (if any):
___________________________________________________________
__________________________________________________________
Additional or IMPORTANT Information:
___________________________________________________________
___________________________________________________________

___________________________________________________________

ADDRESS:

____________________________________
____________________________________
____________________________________
____________________________________
POST CODE
ZIP CODE:___________________________
 
 
>
PHONE
Day:____________________________________
Mobile:__________________________________
Work:___________________________________
Email Address:____________________________
Link to Website:___________________________
 
PARENTS Please sign Below: If the under the age of 18, the parent/gaurdian of the applicant must sign below
SIGNATURE:_____________________________
Date:___________________________________
Full Name::_____________________________
Please state who has signed.. ARE YOU THE ARTIST OR PARENT
_____________________________
>
QUICK BRIEF DETAILS .. Please also attach CV

Location:

Height:

Weight:

 

Playing Age:

 

Unions:

 

                              

Role Types:

Eye Colour:

 

Hair Colour:

 

Hair Length:

 

Voice Character:

 

Voice Quality:

 

Skin Quality:

 

                                
MEDICAL CONDITIONS...  / SCARS / BLEMISHES
Please describe/indicate ALL Medical conditions, 
 including all minor aliments.. if required please attach additional paper.
 :________________________________________________________
 :___________________________________________________
 :___________________________________________________
 
:Please also state if your child has any scars or blemishes. 
 Please precisely indicate their location on your child's body.
___________________________________________________
 :___________________________________________________
 :___________________________________________________

______________________NAME

______________________TALENT

          Juliet Adams Creates Opportunities with TOP casting Professionals
Professional/Experienced Models Please
List your Top10 Assignments
Date
Show / Performance

Role / Assignment
Director
Type
Of Production

Skills:

Accents & Dialects:
Languages:
Performance:
Sports:
Vehicle Licences:
Other Skills:
                                                                                

PLEASE REMEMBER TO ENCLOSE YOUR CHILDREN'S CV

AND PHOTOS

Please state all other Agencies that you are with:

Please RETURN your forms to:

 Juliet Adams Children's Castings Agency

and send to:
Juliet Adams Model & Talent Castings Agency
19 Gwynne House,
Challice Way
London SW2 3RB
Telephone: 0208 671 7673

JULIET ADAMS MODEL & TALENT AGENCY

for quality models, actors, dancers, and so much more!
 
For Great Kids Please Contact Our Children's Division

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