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NORTH EAST ALTERNATIVE MODEL OF THE YEAR 2012. Winter casting January 21st 1pm 3pm.

m. Banana Studio, NE1 2QE (Please write as clearly as possible) Name: Age: A parent or guardian must accompany under 16s. Name of parent or guardian: .. D.O.B: Entrant category: (Please circle appropriate category) Male Male Male Male 13 - 16 Years 16 19 Years 20 25 Years 26+ Years

Female 13 - 16 Years Female 16 19 Years Female 20 25 Years Female 26+ Years Telephone: Email: Address: Please confirm you are free on Saturday 21st January: Yes No

How did you hear about this event? Press Release Facebook Internet Search Flyer / Poster Other ...............................................................

Please submit a headshot along with your application All applicants are guaranteed an audition casting on 21st January - for a photo -shoot

Closing dates for applications is the 14th January 5 admission fee is requested upon entry to casting Completed Applications to be sent to: Alternative Modelling 93 Chichester Road South Shields Tyne & Wear NE33 4HE Or email to: Alternative-Modelling@hotmail.co.uk.