CELEB-A-REALLY Registration Form

CELEB-A-REALLY

REGISTRATION FORM
Are you a dead ringer for Thor himself, Chris Hemsworth? Perhaps you have a close resemblance to tiny Tina Arena? If you think you look like a celebrity then SIGN UP HERE!

Complete this form to be considered for Celeb-A-Really on The Hundred with Andy Lee...
YOUR DETAILS
Email*
example@example.com
Full Name*

First NameLast Name
Mobile Number*
Date of Birth*

DayMonthYear
Day-Month-Year (you must be 18 or over)
Gender*

FemaleMaleNon-BinaryOther
Occupation*
Suburb / Town*
State / Territory*

Australian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia
Please upload a recent photo of yourself *

Browse Files
Please upload a recent photo of yourself as a .jpg file Cancelof
The celebrity you look like
Personal Information:

I understand that Endemol Shine Australia collects my personal information for the primary purpose of selecting participants for the production of “The Hundred” and may share my personal information with its related bodies corporate and broadcast partners for this purpose. I have read and consent to the collection, use and handling of my personal information in accordance with Endemol Shine Australia’s Privacy Collection Statement and Privacy Policy.
I agree
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