Movie Application and Release Form

Talent Information Form

March 2025 Applicants
MOVIE EXTRA APPLICATION FORM

Thank you for your interest in being a movie extra! Please complete the form below with accurate information. Note that all applicants must sign 1 or 2 Non-Disclosure Agreements (NDA) before participating in the production.
Talent Name

First NameLast Name
Date Of Birth

MonthDayYear
Date
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Name

First NameLast Name
Emergency Contact Phone No.
Please enter a valid phone number.Format: (000) 000-0000.
Race/Ethnicity
Height/weight Approximately

Do You Have Reliable Tranportation to the filming?
Transportation Will Be provided for some who are residing in the Hagerstown MD and the Martinsburg, WV areas. You are eligible within a 20-mile radius of 21740 -25411,25401. The location for the Folming is Frederick Md. E G LIMO - Boost National Artist Mgmt is a part of the supporting List of Vendors to mention if you arrive in your own vehicle before we arrive. Applicants may inform staff that you were selected by us if you choose to. We will validate you upon arrival. "to those who will contribute to gas money, I will provide our cash app etc for that upon request.
When are You available? How much notice do you need to become availableEnter Both Answers here*
Do you have any medical conditions or allergies we should be aware of?
If Yes to above(please specify here):
Do you have any physical limitations (e.g., difficulty walking, standing for long periods, running)
If yes to above please explain
I understand that I will be required to sign 1 or 2 Non-Disclosure Agreements (NDAs') before participating in the production. I certify that all information provided is accurate and that I am willing to comply with the requirements of the production team.
Type a question
I certify that all information provided is accurate and that I am willing to comply with the requirements of the production team.
Do you require scheduled breaks for religious observance or smoking?☐ No ☐ Yes (please specify):
Explanation Here
Movie Title to be entered by staff
Producer

First NameLast Name
Production Company
staff will fill in
Release Date:TBD
staff will fill in
Movie Release Form

Please fill out the following information for the movie release(s).
I, the undersigned, hereby grant permission to the Production Company and its successors, assigns, and licensees (collectively referred to as "the Producer") to use my likeness, image, voice, and performance in the movie titled above in any and all media, now known or hereafter devised, throughout the universe, in perpetuity, for any purpose, including but not limited to the following:
I understand and agree to the following:
I acknowledge that I am at least 18 years of age and have read and understood this release form before signing it.
Signature or Typed Name
For production use only:
Application received on: ____ /____ /_________
Approved: ☐ Yes ☐ No
Notes: ___________________________________________________
Should be Empty:

Talent Information Form

Movie Release Form