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 Name
Middle Name
Last Name
Stage Name/Name on Work Permit (if different from above)
Gender
*
Please Select
Female
Male
Other
Birthdate
*
-
Month
-
Day
Year
Date
Social Security Number (XXX-XX-XXXX)
*
Age
*
Home Address Line 1:
*
Home Address Line 2:
Home City
*
Home State
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
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
West Virginia
Wisconsin
Wyoming
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")
*
Yes
No
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 Name
Middle Name
Last Name
Relationship to Minor
*
Please Select
Mother
Father
Guardian
Maiden Name
*
Parent/Legal Guardian #1 Cell
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Legal Guardian #1 Cell Text
Parent/Legal Guardian #1 Email
*
example@example.com
Parent/Legal Guardian #2 Legal Name
*
First Name
Middle Name
Last Name
Relationship to Minor
*
Please Select
Mother
Father
Guardian
Maiden Name
*
Parent/Legal Guardian #2 Cell
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Legal Guardian #2 Cell Text
Parent/Legal Guardian #2 Email
*
example@example.com
Name of Traveling Guardian (if Production is Touring)
First Name
Last Name
Relationship to Minor
*
Please Select
Mother
Father
Guardian
Agent Information
Do you have an Agent?
*
Yes
No
Agent Name
*
First Name
Last Name
Agent Company
*
Agent Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Agent Email
*
example@example.com
Agent Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you have a Manager?
*
Yes
No
Manager Name
*
First Name
Last Name
Manager Company
*
Manager Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Manager Email
*
example@example.com
Manager Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School Information
School Name
*
School Type
*
Please Select
Public
Private
Online School
Homeschool
School Year Start Date
*
-
Month
-
Day
Year
Date
School Year End Date
*
-
Month
-
Day
Year
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
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
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
West Virginia
Wisconsin
Wyoming
School Zip Code
*
School Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
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.
Format: (000) 000-0000.
School Admin Phone Text
School Administration Contact Email
*
example@example.com
2025-2026 Grade
*
Please Select
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
2025-2026 Schooling Status
*
Please Select
In-Person
Virtual
Hybrid
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)?
Please Select
Synchronous
Asynchronous
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
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