**OFFICE USE ONLY**
***OFFICE USE ONLY***
WC:_______________
SSN:
I-9 / E-V:___________
PHOTO:___________
DATA:_____________
REG. DATE:
PREPARED BY:
REGISTRATION FORM
REGISTRATION DATE: _________________
_____ MALE
_____ FEMALE
_____ SAG - AFTRA (#:___________________)
_____ NON-UNION (Non SAG - AFTRA)
FULL LEGAL NAME: ________________________________________________________________
PERFORMER NAME: (SAG-AFTRA members only) ________________________________________
BIRTHDATE: (REQUIRED ONLY FOR MINORS)________________________(month/day/year)
PHONES: 1) CELL ________________________
2) HOME _________________________
3) E-MAIL _________________________________________________________________
ADDRESS: __________________________________________________________ APT.# ____________________
CITY: ______________________________________ STATE: _________________ ZIP CODE: _______________
EMERGENCY CONTACT (Name & Phone): _______________________________________________________
HEIGHT: ____’____”
SIZES: MEN:
SIZES: WOMEN:
WEIGHT: ________
Coat: ________
Bra: ___________
PORTRAYABLE ETHNICITY:
(CIRCLE ONE may be modified by
casting staff)
Neck: ________
Waist: __________
Sleeve: _______
Hips: __________
Waist: ________
Dress: __________
African-American / Caucasian / Chinese
East Indian / Filipino / Hawaiian
Hispanic / Indonesian / Japanese
Korean / Middle Eastern
Mixed African-Am / Native American
Pacific Islander / Thai / Vietnamese
PORTRAYABLE AGE
Inseam: _______
(10 YEAR RANGE LIMIT)
_______TO_______
Shoes: ________
(may be modified by
Pants: __________
EYE COLOR: _________________
Shoes: __________
HAIR COLOR: __________________
Casting staff)
WILL YOU DO NUDITY? YES
NO
PARTIAL
HAIRSTYLE: (If Applicable)
Afro ____________
LONG
Bald ____________
MED
Braids ___________
SHORT
Dreads __________
Mohawk_________
Toupee or Wig____
VEHICLES:
YEAR ________MAKE ____________ MODEL ____________ COLOR____________CONDITION__________
YEAR ________MAKE ____________ MODEL ____________ COLOR____________CONDITION__________