Millie Lewis of Charleston - Charleston, South Carolina - ARTS Registration Information Form

7475 Northside Drive
North Charleston, SC 29420
Ph: (843) 571-7781
Fax: (843) 763-0365

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Register for an Upcoming Audition

Thank you for your interest in our company and our upcoming Auditions!
--- WANTED ---

Sunday May 19, 2013 at 2:00PM (Charleston)
Click here to view flyer.
Tuesday May 21. 2013 at 6:30PM (Myrtle Beach)
Click here to view flyer.

ACTORS, MODELS, AND TALENT
Looking for a chance to see if they have what it takes to succeed in the business!!!

Please complete the following form and click the "submit" button below and
we will contact you with all of the information you need to attend the upcoming Audition.
Please call (843) 571-7781 to find out the date of the next audition.

Our Confidentiality Policy:
Millie Lewis of Charleston will NEVER disclose your personal information to any outside organizations or persons
without your explicit permission!
The information you submit is used solely to register for an audition!.

Audition Location

First Name

Last Name

Age

(if under 18)
Mother's Name

(if under 18)
Father's Name

Street Address

City, State, Zip

Phone numbers and/or email addresses will be used for notification, if you get a call back from the audition.

Phone Number

Alternate Phone Number

Your Email Address

(if under 18)
Your Parent's Address

Height

Hair Color

Eye Color

Clothing size

My interest(s) include

Modeling
Acting
Singing
Dancing
Other

List any other experience or formal training.

Have you ever attended a competition, pagent, or similar audition before?
If so, please explain.

Do you have current or previous affiliations with other modeling or talent agencies? If so, please explain.

In terms of modeling or talent, what are your goals and aspirations?

How did you hear about this audition?

Media Design & Hosting By:
Qi Virtual Marketing Group, LLC.
1078 Winslow Drive
Charleston, South Carolina 29412
www.qivmg.com
info@qivmg.com