America Says - Submission Form

America Says - Casting Submission Form

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!
***THIS SHOW IS FOR TEAMS OF FOUR - ONLY ONE PERSON FROM YOUR TEAM SHOULD SUBMIT THIS FORM!!***
THIS PRODUCTION REQUIRES ALL CONTESTANTS TO BE FULLY VACCINATED** FOR COVID-19 SUBJECT TO REASONABLE ACCOMMODATIONS AS REQUIRED BY LAW FOR INDIVIDUALS WHO CANNOT BE VACCINATED DUE TO DISABILITY OR A SINCERELY HELD RELIGIOUS BELIEF, PRACTICE, OR OBSERVANCE.
Is your team fully vaccinated** for COVID-19 or do you/they have a disability or sincerely held religious belief, practice or observance that prevents you/them from being vaccinated? Please type “X” in the applicable box below and do not provide any information other than selecting “yes” or “no”:

YESNO
**Fully vaccinated for purposes of this question means at least 14 days after the second dose of the Pfizer-BioNTech or Moderna vaccine or the single dose of the Johnson & Johnson vaccine.
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Current City/State: *
Hometown City/State: *
Occupation*
Do you currently live in Southern California?*

Yes, I live in Southern CaliforniaNo, I do not live in Southern California
Have you ever appeared on a game show?*
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)*

MonthDayYear
Date
Are you a US Citizen or legal United States resident?*
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?*
Should be Empty:

America Says - Casting Submission Form

***THIS SHOW IS FOR TEAMS OF FOUR - ONLY ONE PERSON FROM YOUR TEAM SHOULD SUBMIT THIS FORM!!***

THIS SHOW IS FOR TEAMS OF FOUR - ONLY ONE PERSON FROM YOUR TEAM SHOULD SUBMIT THIS FORM!!