IMTA Audition Registration
Thank you so much for your interest in attending IMTA with Ambiance Models & Talent.
Minors under the age of 18 must be accompanied by a Parent/Guardian.
Name
*
First Name
Last Name
Age
*
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Parent/Guardian Name (if under 18 yrs)
First Name
Last Name
Alternate Phone Number
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Height
*
Weight
*
Eye Color
*
Hair Color
*
Sizing Type
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Kids
Women
Men
T-Shirt Size
*
Pant Size
*
Shoe Size
*
DOB:
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What are you auditioning for? (Choose as many that apply)
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Acting
Modeling
Singing
Dancing
Choose your audition date & Location
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Saturday, September 28 @ 10 am - Chattanooga, TN
Tuesday, October 15 @ 6 pm - Leesburg, VA
List any current or previous acting/modeling experience and/ or training
Are you currently listed with Ambiance Models & Talent Agency?
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Yes
No
Have you ever been or are you currently with any agency?
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Yes
No
Previously
If so, what agency?
Have you ever auditioned for IMTA before?
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Yes
No
If so, what was the result?
Tell us why you should be selected for IMTA?
*
Upload a Photo
*
Browse Files
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Release Agreement: As contestant or parent / guardian of the above contestant, I give my permission for myself or my child (if under 18) to participate in the IMTA Auditions with Ambiance. I agree to indemnify and hold harmless Ambiance Models & Talent, Inc., IMTA, Chattanooga Convention Center, its sponsors and employees against any loss, damage, injury or other conditions arising out of myself or my child’s participation. I understand that Ambiance makes no promises to me or my child in regards to a career in the entertainment industry. I have answered truthfully and to the best of my ability. Also, in consideration of the potential for additional publicity, I hereby authorize use of my photos, video or television for future use and advertising.
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