GUEST MODEL APPLICATION 2014 American Girl Fashion Show November 15 & 16 Pittsburgh Field Club, Fox Chapel, PA Join the fun on stage during intermission as a Guest Model! For an additional $25 donation to the Junior League of Pittsburgh’s initiative to educate and empower children, your American girl and her doll will walk the runway! Each Guest Model will be introduced as she takes her turn on the runway. Girls must be in grades 1 – 6 in order to participate. Each Guest Model must purchase a fashion show ticket to attend the event. Once tickets are purchased, please send in the guest model application. Guest Model applications will be accepted until October 31, 2014, but please be advised, space is limited to 10 per show and available only on a first-come, first-paid basis. Fashion show tickets and Guest Model spots can be online at www.jlpgh.org. Model Name:_____________________________________ Age: __________ Parent/Guardian Name:__________________________________________ Phone Number: _____________________ Cell Number: _______________ Street Address: __________________________________________________ City: _______________________ State: _________ Zip Code:____________ E-mail Address: _________________________________________________ School: ______________________________________ Grade: ____________ Name on the ticket order: _________________________________________ Please tell us three fun things about you. These three items will be announced as you walk the runway! For example: your favorite American Girl doll, favorite subject, hobbies, or favorite movie. 1) ________________________________________________________ 2) ________________________________________________________ 3) ________________________________________________________ Send Guest Model application to: Junior League of Pittsburgh 33 Terminal Way, Suite 531 Pittsburgh, PA 15219-1212 Questions? Please send an e-mail to americangirlfashionshowmodels@jlpgh.org I give my child permission to be a guest model in the American Girl Fashion Show. I also understand that my child is guaranteed a Guest Model position only with a confirmed purchase of the Guest Model spot when purchasing tickets to the show. A member of the Junior League of Pittsburgh will contact you to confirm your child’s participation. I understand the commitment that I am making and give permission for my child to participate in the American Girl Fashion Show as a Guest Model. I understand that if I have any questions regarding these matters, it is my responsibility to ask for answers before signing permission. By signing this application, I am also giving permission for my child to be photographed and/or videotaped. These images will be the property of the Junior League of Pittsburgh and I grant permission to the Junior League of Pittsburgh to use photos and videos to promote the Junior League of Pittsburgh. I agree to release and hereby release and hold harmless The Junior League of Pittsburgh, American Girl Programs, Inc., their parent, affiliates, subsidiaries, officers, employees, agents, and assignees; and any other sponsors, volunteers, and staff for the event listed above, from any and all liability that may arise from my child’s participation in the meetings, fittings, rehearsals, or fashion show described above. __________________________________________________ Signature of Parent/Guardian ____________________________ Date