CASTING & RELEASE FORM

Location: ______________________ ______________________ Name: Date: _________ ___:___M Casting Directors: ________________________ Are you willing to provide costume pieces for your character from your own wardrobe, if necessary? Y / N

Role auditioning for: Are you willing to change your hair-style or hair color for a role? Y/N

Primary E-mail:

Contact Phone #1:

Are you able to perform light stuntwork such as dancing or moving an object around with your hands, if necessary? Y / N If N, why not?

Contact Phone #2:

Height:

Weight:

Please list AM and PM conflicts on the days of ____________:

Eye Color:

Hair Color:

Measurements: Thank you for your time and interest! Special Skills:

I agree to give permission to record my image and voice for casting purposes ONLY and all copies thereof and all rights therein shall be the sole and exclusive property of the casting directors and f production company.

_____________________________________________________________________________________ Actor Signature Date

_____________________________________________________________________________________ Casting Directors Signature Date