American Girl FA S H I O N S H O W TM 2015 Guest Model Interest Form Name of Model _________________________________________________ Name of Parent(s) ______________________________________________ Address _______________________________________________________ City _____________________________State _______Zip ______________ Home Phone _____________________Cell Phone ____________________ Parent’s Email _________________________________________________ Birth Date ____________Age in November 2015 ________ School & School District _________________________________________ Grade in 2015/2016 ______________ Check which show you will be attending oFriday, November 6 at 7:00pm oSaturday, November 7 at 10:30am oSaturday, November 7 at 1:30pm oSaturday, November 7 at 4:30pm Presented by Please send completed form with photo of model to: Hands-on House American Girl Guest Model 721 Landis Valley Road Lancaster, Pa 17601 717-569-KIDS Show Location: Calvary Church Landis Valley Rd. Lancaster, Pa