NEW SUPERMARKET SHOW (working title) APPLICATION FORM
Imagine what you could do with that extra money instead of spending it on the basics. By taking part in this Channel 4 TV show you’ll be shown how your whole household can streamline what you spend in a fun and interactive experiment that is tailored to your lifestyle.
PLEASE COMPLETE THIS APPLICATION FORM ON BEHALF OF YOU AND MEMBERS OF YOUR FAMILY THAT YOU LIVE WITH – BY COMPLETING THIS APPLICATION FORM YOU ARE APPLYING TO TAKE PART IN THIS TV SERIES AS A HOUSEHOLD AND HAVE THE CONSENT OF THOSE YOU HAVE LISTED
FAMILY NAME:
*
LEAD APPLICANT'S NAME:
*
First Name
Last Name
LEAD APPLICANT’S AGE / DOB:
PLEASE LIST NAMES AND AGES OF ALL OTHER MEMBERS OF YOUR HOUSEHOLD (please also include each person’s relationship within the family eg.mum / dad / brother / sister etc.)
*
FAMILY ADDRESS:
LEAD APPLICANT’S CONTACT TELEPHONE NUMBER:
*
LEAD APPLICANT’S CONTACT EMAIL:
*
WOULD EVERYONE IN YOUR HOUSEHOLD BE WILLING TO PARTICIPATE IN THIS PROGRAMME?
*
YES
NO
UNSURE
WOULD YOU BE WILLING TO ALLOW ALL AREAS OF YOUR HOME TO BE ACCESSED FOR FILMING PURPOSES?
*
YES
NO
UNSURE
FILMING WILL TAKE PLACE BETWEEN 5TH MAY 2025 - 19TH MAY 2025. WE WOULD FILM WITH YOU AND YOUR FAMILY FOR UP TO 5 DAYS – PLEASE INFORM US OF ANY STRICT UNAVAILABILITY DURING THIS TIME.
*
Do you have any accessibility requirements we should be aware of to support your application process? We are happy to make any necessary adjustments to ensure a smooth experience for you.
PLEASE SUBMIT A SHORT VIDEO OF YOU AND YOUR FAMILY TO INTRODUCE YOURSELVES AND TELL US WHY YOU WOULD BE GREAT FOR THIS TV SERIES!
We can only accept MPGs or ZIP files (compression setting).If you encounter any issues uploading, please get in touch with us at: apply@highrockmedia.co.uk
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Alternatively please complete the following questions in written form below:
TELL US ABOUT YOUR FAMILY...
WHY WOULD YOU AND YOUR FAMILY LIKE TO TAKE PART IN THIS TV SERIES?
WHAT WOULD YOU LOVE TO ACHIEVE BY SAVING MONEY? EG. HOLIDAY / HOME IMPROVEMENTS / OTHER.
ARE YOU HAPPY FOR HIGH ROCK MEDIA TO CONTACT YOU ABOUT OPPORTUNITIES TO PARTICIPATE IN FUTURE SHOWS?
YES
NO
Applicants need to be UK residents and 18+Please confirm you've read and understood our data protection policy
Highrock Media Data Protection Policy
YES
Save
Submit
Should be Empty: