The Official...

 

Model of the Month

 

Full Name

Full Name :: Enter your Full Name

 

Address

Address :: Enter your Street Address

 

City, State, Zip Code

City, State, Zip Code :: Enter your City, State, Zip Code

 

Contact Number

Contact Number :: Enter Contact Number with no dashes

 

Email

Email :: Enter Email Address

 

Date of Birth

Date of Birth :: Enter your DOB

 

Marital Status

Single
Married

 

Why should you be Model of the Month?

 

I have read the rules and regulations, which have been provided for me on the Model of the Month Site. I understand that Model of the Month, nor its host are not responsible for any injuries or illnesses sustained by me during the duration of the event. Contestant and guardian will not hold Model of the Month or anyone affiliated responsible for any illness, injury or lost or stolen items including personal belongings or awards received. The decision of the judges is final. The Model of the Month Program has the right to disqualify a contestant for bad behavior and for any other reason deemed inappropriate. Good sportsmanship should be exhibited at all times by contestants. A detailed list of rules and regulations will be provided in a contract.

 

I agree

 

 

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