EXTRAS NEEDED!
Casting "Swerve", a short film by Raphael Xavier.
Synopsis: While looking for a change in life, BMX'er Van Xander is given the chance to mentor young Eli, a fifteen-year old trying to make a name in Philly's wheelie culture. They soon realize that they need each other.
Location
All production will take place in Philadelphia. Travel/transportation will not provided or compensated.
HOW TO APPLY TO BE AN EXTRA
If you are interested in being an extra for "Swerve", please review the roles on the next page and submit an application and forms that follow to be considered! You may apply to as many roles as you are interested in and available for.
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Roles:
Member of Supporting Character's Bike Crew
Nonpaid. Shooting will take two 4 hour days. You must be able to provide your own bike. Must also be able to commit to attending those two shoot days. Transportation and accommodations will not be provided or compensated.
Wheelie Artist
Nonpaid. Shooting will take 1-2 days. You must be able to provide your own bike and perform wheelies. Transportation and accommodations will not be provided or compensated.
High School Student
Nonpaid. No bike skills required. Shooting will take one 4 hour day. Transportation and accommodations will not be provided or compensated.
Indian Bodega Clerk
Nonpaid. Shooting will take one 4 hour day. Transportation and accommodations will not be provided or compensated.
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Application Form to be an Extra on "Swerve"
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Instagram handle (optional)
What city do you currently reside in?
*
Are you 18+? Those under the age of 18 are still encouraged to apply, but may need to submit extra documents if casted.
*
Yes, I'm 18+
No, I'm under age 18
Will you be able to provide your own transportation to set?
*
Yes
No
Please outline your availability for the month of October.
*
Role(s) you are interested in (You may apply to as many roles as you are interested in and available for):
*
Wheelie Artist
High School Student
Member of Supporting Character's Bike Crew
Indian Bodega Clerk
Any other Extra roles that might be needed
Please submit a Headshot/Picture of Yourself:
*
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If you are applying to be a Member of Supporting Character's Bike Crew OR Wheelie Artist, please submit video(s) of you displaying your best bike skills:
Browse Files
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Choose a file
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Is there anything else you would like us to know? (optional)
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WAIVER AND RELEASE OF LIABILITY & RELEASE OF IMAGE FOR USE
*NOTE*: IF YOU ARE A MINOR, PLEASE READ THE FOLLOWING AND HAVE A PARENT/GUARDIAN SIGN ON THE NEXT PAGE
PLEASE READ CAREFULLY! THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS!
THIS AGREEMENT is made for a participation in the short film titled “Swerve” (“Production”) on or about October 13, 2021 to October 27, 2021 (“Date”) by Raphael Xavier (“Producer”) and W.O.R.X. Productions (“Company”), and its owners, directors, officers, employees, volunteers, representatives, licensees, and agents, the Activity holders, Activity sponsors, and Activity volunteers (the “Released Parties”).
1. RELEASE:
I have voluntarily agreed to participate in this Production. For the opportunity to participate in the Production, I agree that the Production may be broadcast and/or distributed without limitation through any means and I shall not receive any compensation for my participation.
2. USAGE
I confirm that any and all material furnished by me for the Production is either my own or otherwise authorized for such use without obligation to me or any third party. I grant Producer, Company, and Released Parties the irrevocable and unrestricted right of use of my name, likeness, image(s), voice, and biographical material produced via my participation in the Production. Producer may exhibit, advertise, promote, and otherwise exploit Production or any portion thereof in any medium, whether or not such uses contain audio and/or the visual reproduction of myself and whether I am identifiable or unidentifiable. I understand that Producer has the right to use the materials created for the Production in any way he/she chooses, and I have no right to inspect or approve those materials.
3. RIGHTS
It is understood that Producer, Company, and the Released Parties are under no obligation to broadcast or distribute the Production. I give the right to Producer to assign all terms stated in this contract. I also understand that by agreeing to the terms of this contract, I am not guaranteed participation in this Production. I further agree that my participation in the Production confers upon me no rights of use, ownership, or copyright. I understand that all materials and intellectual properties produced in association with my participation become properties of Producer. I expressly waive any “moral rights” in connection with the footage and/or results and proceeds.
4. LIABILITY WAIVER
I release Producer, Company, and the Released Parties, and/or third parties associated with filming locations from all liability which may arise from any and/or all claims by me or any third party in connection with my participation in the Production. I agree to pay for damages to any and all items, property, and/or equipment related to the Production that results from my negligent and/or reckless behavior. I also understand that, except as otherwise agreed to by Producer or Company in writing, Producer or Company does not carry or maintain health, medical, or disability insurance coverage for me.
5. ACCIDENT WAIVER/ASSUMPTION OF RISK:
I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this activity, Producer, Company, and the Released Parties, and/or third parties associated with filming locations; (B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise.
6. RELEASING PARTIES
These agreed to releases apply to me, my heirs, next of kin, spouse or spousal equivalent, guardians, legal representatives, executors, administrations, successors and assigns. I and the above parties hereby voluntarily and knowingly release, discharge, and relinquish any and all claims, action and lawsuits of any kind against Producer, Company, and/or the Released Parties.
IN WITNESS WHEREOF, the parties certify and hereunto set their names and seals as of the date first above-written.
AGREED AND ACCEPTED:
FULL NAME:
AGE:
Signature
Date
-
Month
-
Day
Year
Date
EMERGENCY CONTACT INFO: (Person's Name, Relationship to You, Telephone #)
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WAIVER AND RELEASE OF LIABILITY & RELEASE OF IMAGE FOR USE (MINOR ADDENDUM)
Fill and Submit this page ONLY IF NECESSARY
If participant is a MINOR (under the age of 18), the signature of a parent or legal guardian is required:
I represent and warrant that I am the parent or guardian of the minor whose name appears above, that I have read and approve of the foregoing Release, and consent to its execution by my child/ward. For good and valuable consideration, the sufficiency and receipt of which is hereby acknowledged, I hereby release Producer, Company, and/or the Released Parties as set forth and in accordance with the foregoing Release from any claims and/or causes of action I may have against them of any nature whatsoever, and I hereby fully and unconditionally guarantee my child's/ward’s releases, waivers and grant of rights as set forth above.
PARENT OR GUARDIAN FULL NAME:
PARENT OR GUARDIAN SIGNATURE:
Date
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Month
-
Day
Year
Date
PARENT OR GUARDIAN'S PHONE NUMBER:
Please enter a valid phone number.
Format: (000) 000-0000.
PARENT OR GUARDIAN'S EMAIL:
example@example.com
PARENT OR GUARDIAN'S ADDRESS:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
Should be Empty: