XINTENSE.COM

Event Registration

Name *

Date of Birth *

Town / City *

Email *

Telephone Number

Website

Facebook Name

Bebo Name

Picture

I confirm that my date of birth given about is accurate and that I am over 18 years of age.

I confirm that I have read and understood the terms of the event.

I confirm that I will be attending the event and agree to inform you if this changes. Otherwise I understand that I won't be eligible for any Glam Factor events in the future.

All information is strictly Private & Confidential. The more information provide the more we're aware of you & what you do. You may be required to sign a Model Release form on the night. You do not have to do this but if you opt out we cannot submit your images for publication.