CONTACT THE EXPERTS! MODELS & ACTORS: Request information to become a model, actor, makeup artist or photographer at John Casablancas Modeling & Acting Agency of Connecticut. Please call 860-563-5959 or email bookings@johncasablancasct.com for more information on our summer camps or birthday party packages.*Serving the New England Area Only PLEASE NOTE: IF YOU ARE 13 YEARS OF AGE OR OLDER YOU MAY FILL OUT THE FORM BELOW. IF YOU ARE 12 YEARS OF AGE OR YOUNGER YOU NEED TO FILL OUT A DIFFERENT FORM, CLICK HERE. Fields marked with * are mandatoryFirst Name** First Name: First Middle NameMiddle Name: Middle Last Name** Last Name: Last SuffixSuffix: Suffix GenderGender:Please SelectFemaleMaleAgeAge:Language PreferenceLanguage Preference:Address Home Address 1: Home Address 2: City: State: AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Zip Code: Contact PhoneContact Phone:Cell** Cell:e-mail addresse-mail address:Interested InInterested In:Is it okay to contact you via text message?*Yes!No, thanks*By clicking the Yes! button above, Subscriber hereby agrees to receive mobile service commercial message sent to Subscriber's wireless device from John Casablancas. Subscriber may be charged by Subscriber's wireless service provider in connection with the receipt of such messages. Subscriber may revoke Subscriber's authorization to receive mobile service commercial message at any time by sending email to unsubscribe@jcasablancas.com notifying Company of Subscriber's revocationCAPTCHA Send to a friend