| Register Here for a chance to be the next Mirada Cover Girl |
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First Name: |
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| Last Name |
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| Birthdate |
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| Phone |
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| Email |
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| Confirm Email |
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| Address |
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| Apartment |
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| City |
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| State |
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| Zip |
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| Country |
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Parent or Guardian Name |
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Parent or Guardian Phone |
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| Modeling |
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| Next Cover Girl |
Why should we pick you to be the Mirada Cover Girl?
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| Confidence Level |
Please rate your confidence level.
1
Lowest
2
3
4
5
6
7
8
9
10
Highest
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Community Participation |
Please list any community service in which you participate. (please include any sports teams, clubs, etc?)
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| Favorite Section? |
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| How is your Spanish? |
Speak and Understand
Fluent/Native
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Casting Meetings |
Can you attend casting meetings as needed?
Yes
No
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To finish this application, send us your best "full-body" picture and another facial to lorena@miradamagazine.net
(Pictures do not have to be of professional quality.)
INCLUDE YOUR NAME IN THE EMAIL AND A PHONE NUMBER |
Lorena Rengifo
Mirada Magazine
Cell: 208.409.7985
Off: 208.322.0712
5579 W Overland Rd, Boise, Id 83705
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