ssn: photo: data: only · 2018. 6. 19. · ssn: reg. date: prepared by: date of birth (required...

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  • Appearance

    Yes No

    Male Female

    Portrayable ethnic lookCheck one

    May be modified by casting staff

    African-American IndonesianAfrican-American mixed JapaneseCaucasian KoreanChinese Middle EasternEast Indian Native AmericanFilipino Pacific IslanderHawaiian ThaiHispanic Vietnamese

    Registration form

    Registration Date

    Full Legal Name

    Phones Cell (Central Casting may call and /or text you)

    Home

    If applicable, SAG-AFTRA (#: ) SAG-AFTRA name

    E-mail

    Address Apt #

    Parent / Legal guardian Name Phone

    City State

    Emergency contact Name

    Current school grade Home schooled

    Phone

    Zip Code

    Eye color

    Hair color

    Hair length long med short

    Office use only

    I-9 / E-V:

    Work permit exp:

    Photo: Data:

    Office use only

    SSN:

    Reg. date:

    Prepared by:

    Date of birth (required only for minors) (month / day / year)

    Height ‘ “ WeightFor in

    forma

    tiona

    l purp

    oses

    only

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