AFFINITY MODEL & TALENT DATA SHEET
FAX TO: 323-843-9696 or 415-449-3638 (listen to prompts)
First Name__________________________ Last Name__________________________
Modeling Name____________________________
Address _________________________City_______________ State_____ Zip______
Sex M/F Ethnicity Portrayed:_____________ Date Of Birth_______
Country Of Birth___________
Home Ph ________ Mobile _______ Pgr _________Work _________ Fax_________
Email_____________________ Website_________________________________
Union Status (Please circle) SAG AFTRA
AEA
NONE
Social Security # _ _ _ - _ _ - _ _ _ _ ( Required )
Visa Yes or No
Adult Work Permit for Non Residents:______
Entertainment Work Permit (Minors Only)_________
Parent/Legal Guardian ( If Under 18 )
Name______________________ Phone Number ___________________________
Modern, Professional Dancer, Square
Dance, Swing, Tap., Other:_______
Height___________
Weight___________
Bust/Chest___________
Dialects/Other Languages ( Please
Bra Size ( A,B,C,D Other:
)
Describe ) ______________________
Waist___________
_________________________________
Hips___________
Dress Size___________
Children Yes or No
How Many?
Shoe Size___________
Sex ? ________________
Hair Color___________
Age ? ________________
Eye Color___________
Weight___________
Collar___________
Instruments______________________
Sleeves___________
_________________________________
InSeam___________
Suit___________
Allergies ________________________
Gloves___________
Hat___________
Car_________ Year___ Model_______
Can Do ( Please Circle )
Act
Dance
Fur
Lingerie/Underwear
Liquor Ad
Nude
Runway
Sing
Swimwear
Tobacco Ad
Topless
Dance Skills ( Please Circle )
Ballet, Ballroom, Belly, Disco,
Flamenco, Folk, Jazz, Jitter, Mime,
Music Style ( Please Circle )
Broadway, Country, Folk, Music Style,
Broadway, Cantor, Country, Folk, Hip
Hop, Gospel, Jazz, Opera, Pop, Rock,
Soul.
Vocal
Alto, Baritone, Bass, Bass-Baritone,
Belt, Mezzo, Soprano, Tenor.
Physical Characteristics
Eyeglasses or Contacts ( Please Circle )
Any Imperfections ? ___________
Body Piercings ( Please Describe)
_________________________________
_________________________________
Tattoos or Scars ( Please Describe )
_________________________________
_________________________________
Age Range Portrayed:
Between____yrs. and _____yrs.
Outdoor Sports
Archery, Baseball, Bicycling, Canoeing
Diving, Football, Golf, Horseback
Riding, Jogging, Raquetball, Rock
Climbing, Rollerblading, Sailing, Scuba,
Shoot Gun, Skateboarding, Sky Diving,
Soccer, Softball, Squash, Stunt, Surfing,
Swimming, Table Tennis, Tennis, Track
and Field, Volleyball, Water Skiing,
Wind Surfing.
Indoor Sports
Aerobics, Basketball, Body Building,
Bowling, Boxing, Cross Country,
Gymnastics, Hockey, Ice Skating, Judo
Karate, Martial Arts, Ski Jumping,
Wrestling, Yoga.
( Agency Use Only )
L________
Audio Reel
Calender
(see next page)
Character/Clown/Comedian/Mime
C.Print , C. Reel, Commercials
Drivers License
Extras
Fashion Runway / Fashion Print
Look A Like
Magician
Plus
Promotions/Tradeshows/Showroom
Modeling
Voice Over
SKIN
P
SMILE
P
TEETH P
EYES
P
WALK
P
TALK
P
ATTITUDE
F
F
F
F
F
F
P
G E
G E
G E
G E
G E
G E
F G E
Imperfections ……….
Notes …………..
Have Work Permit Y/N
Have Pictures Y/N
Need Pictures Y/N
Have Resume Y/N
AFFINITY MODELS & TALENT, INC.
NON-EXCLUSIVE CONTRACT BETWEEN ARTIST AND TALENT AGENCY
1.
I agree to engage AFFINITY MODELS & TALENT, INC ("AGENCY") as my non-exclusive Talent Agent
and to authorize said Talent Agent to act in my behalf. I hereby employ you as my nonexclusive talent agency for a
period of _____ years (not to exceed 7 years) from date hereof to negotiate contracts for the rendition of my
professional services as an artist, or otherwise, in the fields of motion pictures, legitimate stage, radio broadcasting,
television and other fields of entertainment.
2.
I hereby agree that you may advise, counsel, or direct me in the development and/or advancement of my
professional career.
3.
I hereby agree that you may render your services to others during the term hereof.
4.
In the event that I do not obtain a bona-fide offer of employment from a responsible employer during a period of
time in excess of four (4) consecutive months, during all of which said time I shall be ready, able, willing, and
available to accept employment, either party hereto shall have the right to terminate this contract by notice in
writing to that effect sent to the other by registered or certified mail.
5.
Subject to my availability, you hereby agree to use all reasonable efforts to procure employment for me in the field
or fields of endeavor specified in the contract in which you represent me.
6.
As compensation for your said services agreed to be rendered hereunder, and in consideration of your efforts to
assist me in finding union film or television extra-work, full-featured film and commercial work, AGENCY will
receive a TEN PERCENT (10%) not to exceed maximum rate shown on fee schedule of all monies or things of
value as and when received by me directly or indirectly, as compensation for my professional services rendered or
agreed to be rendered during the term hereof under contracts, or any extensions, renewals, modifications, or
substitutions thereof, entered into or negotiated during the term hereof and to pay the same to AGENCY thereafter
for so long a time as I receive compensation on any such contracts, extensions, options, or renewals of said
contracts; and for so long as AGENCY remain licensed. It is expressly understood that to be entitled to continue to
receive the payment of compensation on the aforementioned contracts, after the termination of this agreement,
AGENCY shall remain obligated to serve me and perform obligations with respect to said employment contracts or
to extensions or renewals of said contracts or to any employment requiring my services on which such
compensation is based.
7.
As compensation for your said services agreed to be rendered hereunder, and in consideration of your efforts to
assist me in finding non-union film or television extra-work, full-featured film and commercial work, AGENCY
will receive TWENTY-FIVE PERCENT (25%) not to exceed maximum rate shown on fee schedule of all monies
or things of value as and when received by me directly or indirectly, as compensation for my professional services
rendered or agreed to be rendered during the term hereof under contracts, or any extensions, renewals,
modifications, or substitutions thereof, entered into or negotiated during the term hereof and to pay the same to
AGENCY thereafter for so long a time as I receive compensation on any such contracts, extensions, options, or
renewals of said contracts; and for so long as AGENCY remain licensed. It is expressly understood that to be
entitled to continue to receive the payment of compensation on the aforementioned contracts, after the termination
of this agreement, AGENCY shall remain obligated to serve me and perform obligations with respect to said
employment contracts or to extensions or renewals of said contracts or to any employment requiring my services on
which such compensation is based.
8.
In consideration of your efforts to assist me in finding non-theatrical, non-artistic contracts, AGENCY will receive
TWENTY-FIVE PERCENT (25%) of all other fees received by me through or as a result of direct or indirect
efforts of AGENCY. There will be certain non-theatrical, non-artistic assignments that will be paid a flat rate and
the 25% fee will not apply.
9.
All fees listed above shall also apply on any additional employment or contracts with employers from whom I first
received work through AGENCY I agree to refer any potential clients to AGENCY while working for clients
referred to me by AGENCY
10. I agree that all fees earned by me shall be paid directly to AGENCY, and that AGENCY is authorized to deduct its
percentage before remitting payment to me. Should payment of a fee be sent to me directly, I agree to pay
AGENCY its percentage as outlined above within 5 days of receipt.
11. I further agree to cooperate with AGENCY by keeping it informed of my availability and to notify them of any
emergency preventing prompt arrival.
12. It is further agreed that any work performed by talent will be as an independent contractor and not as an employee.
It is further agreed that AGENCY will not maintain any type of State or Federal tax for any payments made to
talent. Talent agrees to be responsible for any tax liabilities on any and all moneys received through AGENCY.
13. LIMITED LIABILITY: It is further agreed that AGENCY shall not be responsible for any damages, whether
actual or potential, direct or indirect, special, consequential, or incidental, nor any loss of profits or claims which
may arise in any way out of its performance or breach of this Agreement, whether related to myself or to another
party in a sum in excess of the fee paid to me for the work I have performed. I further agree that AGENCY shall
not be responsible (beyond reasonable collection efforts) for payments due to me for work I have performed for
third parties for which I have provided talent services.
14. INDEMNIFICATION: It is further agreed that I will hold AGENCY harmless from and indemnify AGENCY
against any and all claims which may be brought by myself, my representatives or third parties for any loss,
including business loss, personal injury, damage to property interests, non-payment, loss of pay, or delay in
payment due to AGENCY’s direct/indirect client’s non-payment or payment shortages. AGENCY will use every
reasonable legal means to recover all monies owed by clients or third parties.
15. I also agree to indemnify and hold harmless AGENCY along with its direct/indirect client(s) from any and all
claims including but not limited to unemployment, workers compensation arising from all current and future with
the AGENCY and AGENCY clients. I also agree and acknowledge that I am not an employee of AGENCY nor
their direct/indirect clients but rather I am an Independent Contractor for all current and future work with the
AGENCY.
16. Controversies arising between us under the provisions of the California Labor Code relating to talent agencies and
under the rules and regulations for the enforcement thereof shall be referred to a mutually agreed upon mediator. If
it proves impossible to arrive at a mutually satisfactory solution through mediation, the parties agree to submit their
dispute to binding arbitration under the rules of the American Arbitration Association. The Labor Commissioner or
his authorized representative may attend these proceedings and will receive notice of these arbitration proceedings
at least ten (10) working days in advance of said arbitration.
17. You hereby agree to deliver to me an executed exact copy of this contract. My signed copy shall suffice to fulfill
this aspect of the contract.
I have read and understand the foregoing and agree and understand the whole.
Date:________________________
AGREED TO AND ACCEPTED
AFFINITY Model & Talent
Talent Agency
____________________________________
Name of Artist
____________________________________
Street Address
____________________________________
City
State
Zip
THIS TALENT AGENCY IS LICENSED BY THE LABOR COMMISSIONER OF THE STATE OF CALIFORNIA
This form of contract has been approved by the State Labor Commissioner on the ___day of______19___.
By________________________
AFFINITY MODELS AND TALENT, INC.
PUBLISHING AGREEMENT
Please read the following and sign your name at the bottom of this agreement. This
agreement must be returned to us within ten days.
I agree to let AFFINITY MODELS & TALENT, INC. ("AGENCY") have the right
to disseminate, reproduce, print and publish my name, likeness and biography in order to
secure the advantages of publicity for me and to promote my artistic career. This
includes, but is not limited to, portfolios, agency brochures, business cards, Internet, web
page or other electronic media advertising or other agency promotional materials.
I hereby grant the Agency the unlimited right to use these images, if already printed or
utilized as graphics for agency promotional materials after such time as I choose to
terminate my relationship with Agency.
Agency may grant such rights to others, provided however, that AGENCY shall in no
event grant permission to any person to use any direct endorsement by myself of any
product or service without my written consent.
AGENCY may open all correspondence intended for me which they receive, and may
answer any correspondence relating to my professional activities.
Accepted this date: ____________________________________________________
Print name: ______________________________________________________________
Signature: _______________________________________________________________