Minor Information Form (Education and Permitting

Minor Information Form

Please fill out the information below and a member of our office will be in touch with next steps and any additional documentation requests. Thank you!
Personal Information
Current Project Name (please write Full Project Name that was sent via email)*
Character Name (if known)
Legal Name of Minor*

First NameMiddle NameLast Name
Stage Name/Name on Work Permit (if different from above)
Gender*
Birthdate*

MonthDayYear
Date
Social Security Number (XXX-XX-XXXX)*
Age*
Home Address Line 1:*
Home Address Line 2:
Home City*
Home State*
Home Zip Code*
County of Residence*
Note: County, not Country, of residence
Permitting Information
Do you have a Minor Entertainment Work Permit? (If you are unsure, please select "No")*

YesNo
Work Permit State(s)*
Work Permit Number(s)*
Work Permit Expiration Date(s)*
Height*
Weight*
Hair Color*
Eye Color*
Place of Birth (City, State)*
Birth Order (Example: Child 1 of 3)*
Parent Information
Parent/Legal Guardian #1 Legal Name*

First NameMiddle NameLast Name
Relationship to Minor*
Maiden Name*
Parent/Legal Guardian #1 Cell*
Please enter a valid phone number.
Parent/Legal Guardian #1 Cell Text
Parent/Legal Guardian #1 Email*
example@example.com
Parent/Legal Guardian #2 Legal Name*

First NameMiddle NameLast Name
Relationship to Minor*
Maiden Name*
Parent/Legal Guardian #2 Cell*
Please enter a valid phone number.
Parent/Legal Guardian #2 Cell Text
Parent/Legal Guardian #2 Email*
example@example.com
Name of Traveling Guardian (if Production is Touring)

First NameLast Name
Relationship to Minor*
Agent Information
Do you have an Agent?*

YesNo
Agent Name*

First NameLast Name
Agent Company*
Agent Phone*
Please enter a valid phone number.
Agent Email*
example@example.com
Agent Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you have a Manager?*

YesNo
Manager Name*

First NameLast Name
Manager Company*
Manager Phone*
Please enter a valid phone number.
Manager Email*
example@example.com
Manager Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Information
School Name*
School Type*
School Year Start Date*

MonthDayYear
Date
School Year End Date*

MonthDayYear
Date
School District of Residence (even if homeschooled or enrolled in private school)*
School Address Line 1:*
School Address Line 2:
School City*
School State*
School Zip Code*
School Phone*
Please enter a valid phone number.
School Phone Text
School Administration Contact Name (i.e. principal, guidance counselor, etc.)*
School Administration Contact Title*
School Administration Contact Phone*
Please enter a valid phone number.
School Admin Phone Text
School Administration Contact Email*
example@example.com
2025-2026 Grade*
2025-2026 Schooling Status *
IF you selected virtual or hybrid: are online classes SYNCHRONOUS (student completes classes at the same time as their peers) or ASYNCHRONOUS (student completes classes on their own time)?
Current Courses

For elementary students, list main teacher and contact information.
Please list all courses you are currently enrolled in for the 2025-2026 school year, as well as Teacher Name and Email
Optional: In what areas does the student excel? In what areas does the student face challenges or need extra considerations?
Optional: please upload a copy of minor's Academic Calendar for Current School Year

Cancelof
Should be Empty:

Minor Information Form

Personal Information

Permitting Information

Parent Information

Agent Information

School Information

Current Courses