Appearance

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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

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only