Imagine PR Group Client Information
Name
Client Name
Last Name
Mother (If client is a minor)
Father (If client is a minor)
Email (Mother's or Father's if a Minor)
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Country
Mother or Father's Phone Number (if a minor)
Format: (000) 000-0000.
Date of Birth
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Client Age
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Social Media
Instagram Handle and # of followers
Twitter Handle and # of followers
Facebook Fan Page and # of followers
List any other social media accounts and # of followers & include website URL here if applicable.
How did you get started in the industry?
What age were you when you started?
Where are you from originally?
What are you best know for? Please note if your credits are series regular, co-star, guest star, lead, or supporting
Tell us more about your credits? Type of role, character played, favorite role,
Do you have any commercial campaigns, films, or episodes that will be releasing soon?
What charities are you involved with? What causes are you passionate about?
Tell us about your hobbies?
What is the most fun/unique thing about you? Tell us your special skills!
Bio
Preview PDF
Submit
Email
example@example.com
Should be Empty: