Untitled Survey Game Show
Please fill this form out completely. Every question is important to become a contestant on the show. After we receive your submission, someone from our team will contact you shortly!
****ONLY ONE PERSON FROM YOUR TEAM SHOULD SUBMIT THIS FORM!!***
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Current City/State:
*
Hometown City/State:
*
Occupation
*
Have you ever appeared on a game show?
*
Yes, I have been on a game show before.
No, I have never appeared on a game show.
Do you currently live in Southern California?
*
Yes, I live in Southern California
No, I do not live in Southern California
If you have appeared on a game show before, please list the name of the show(s), the air date(s), and the network(s). If you have never appeared on a game show, please write N/A.
*
Example: The Price is Right, May 2017, CBS
Birth Date (For age verification purposes)
*
-
Month
-
Day
Year
Date
Are you a US Citizen or legal United States resident?
*
Yes, I am a US Citizen or legal resident.
No.
Please provide a link to your social media (Facebook, Instagram, Twitter, etc). If you are not on social media, please write N/A. (OPTIONAL)
How did you hear about this casting?
*
Please attach a photo of yourself. This photo should be of only you and your face should be clearly visible. Please, no photos where you are wearing sunglasses, hats, or are using any filters. (OPTIONAL)
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