(If you have already seen a Talent Director or are already a Member of Be. You Do Not Need To Fill This Out)
Child's Information:
First Name
only characters, like abcd
Last Name
only characters, like abcd
Gender:
--None--
Female
Male
Unknown
Birthdate:
only date (mm/dd/yyyy), like 01/31/2008
Hair Color:
--None--
Artificial
Blonde
Brown
Black
Red
Eye Color:
--None--
Blue
Light Brown
Brown
Dark Brown
Green
Grey
Hazel
Purple
Height (Ft.):
--None--
1'
2'
3'
4'
5'
6'
7'
8'
9'
(In.):
--None--
1"
2"
3"
4"
5"
6"
7"
8"
9"
10"
11"
12"
Weight (lbs):
Most Interested In (Please Check All That Apply):
Acting:
Singing:
Dancing:
Writing:
Hosting:
Music:
Filmmaking:
Modeling:
Voice-Over:
Comedy / Improv:
Any 1's, 2's, D's, F's on reportcard?:
--None--
Yes
No
Does child have or is able to have SSN?:
--None--
Yes
No
Represented by talent/modeling agency?:
--None--
Yes
No
If so , who ?:
Interviewed with talent agent/manager ?:
--None--
Yes
No
If so , who ?:
Auditioned for commercial or print job?:
--None--
Yes
No
When? Where?:
Booked a commercial, T.V. or print job ?:
--None--
Yes
No
Which one?:
Parent/Guardian's Information:
Mother's First Name:
Mother's Last Name:
Father's First Name:
Father's Last Name:
Guardian's First Name:
Guardian's Last Name:
Guardian's Relationship:
--None--
Grandfather
Grandmother
Aunt
Uncle
Brother
Sister
Cousin
Friend of family
Step Parent
Biological father
Biological mother
Primary Email
email address, like user@domain.com
Secondary Email:
Street Address
City
State
--None--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
Zip
only numbers, like 1234
Mother's Occupation:
Father's Occupation:
Total Kids in Household:
--None--
1
2
3
4
5
6
Household Income:
--None--
15 - 30,000
31 - 44,000
45 - 65,000
66 - 81,000
82,000+
Primary Phone
phone number in 999-999-9999 format
Primary Phone Type:
--None--
Home Phone
Father's Home Phone
Mother's Home Phone
Father's Cell Phone
Mother's Cell Phone
Father's Work Phone
Mother's Work Phone
Legal Guardian's Phone
Secondary Phone
Secondary Phone Type:
--None--
Home Phone
Father's Home Phone
Mother's Home Phone
Father's Cell Phone
Mother's Cell Phone
Father's Work Phone
Mother's Work Phone
Legal Guardian's Phone
Best Time to Call:
--None--
Morning
Afternoon
Evening