Stripper / Model Website Registration Form

Stripper / Model Account Details

This section will allow you to set up a model account.
The information below is used for the model account,

not for your studio account. Please note! Screen Name,

Domain and Twitter will be available publicly on the model's site.

Other information will remain private.

Legal Name:*

First

Last

Screenname for Domain:*

Password:*

Phone:*

Area Code

Phone Number

E-mail:*

Twitter:*

Screen Name:*

First

Last

Read and Agree: Stripper - Model Agreement

Stripper / Model Account Verification Form

The information below will be used for the purposes of 2257 compliance,

age verification and model approval process. The model can submit it herself

within the model interface after logging in. It will never be used in any other way or disclosed to third parties.

Maiden Name:*

First

Last

Previous Legal Name:*

First

Last

Other Stage Names 1:*

First

Last

Other Stage Names 2:

First

Last

Other Stage Names 3:

First

Last

Date of Birth:*

Gender:*

Government issued ID #:*

ID Expiry Date:*

Current Address:*

Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeCountry

Government issued ID

Example

In this section you need to upload photos of model's ID. ID needs to be photographed or scanned and uploaded in corresponding sections below.

Please make sure that images uploaded are of a good quality, model's name, date of birth and ID number are visible and easy to read.

Uploading a third page is necessary only if the required information can not be found on the first two pages of model's ID.

Allowed image formats are JPEG, JPG, GIF, TIFF, PNG and BMP.

ID Front page:*

ID Back page:*

2nd ID page:*

Model Photos

Please fill in Account Details before upload. Example placeholder+image Please upload a photo where model's face can be seen clearly.*

Face and ID photo required Upload filePlease fill in Account Details before upload. Example placeholder+image Please upload a photo of model holding the ID, uploaded above. Please make sure model's face and face on ID are both visible and the writing on the ID is easy to read.*

Word Verification: