NYC, NJ, CT Actor Intake

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number* This field is required.

Area Code

Phone Number

4

Gender* This field is required.

Male

Female

Transgender

Non-Binary

5

City* This field is required.

6

State* This field is required.

7

Union Status* This field is required.

SAG-AFTRA

FI-CORE

NON-UNION

8

# of waivers?* This field is required.

9

SAG-AFTRA Member ID Number* This field is required.

10

SAG-AFTRA CardPlease attach a Scan or Photo of your SAG-AFTRA Card

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

11

Do You Have a Car?* This field is required.

Yes

No

12

Are You Over 18?* This field is required.

Yes

No

13

Age Range* This field is required.

14

Permit Question for Minors

I am under 18 with an up to date NY state performer permit & trust account.

I am under 18 & do not currently have a permit.

I used my 15 day one time permit.

I am under 18 & have never had a work permit.

15

Age

16

Parent Name

First Name

Last Name

18

Height

19

Weight

20

Waist

21

Pant Size

22

Shirt Size

23

Jacket Size

24

Shoe Size

25

Tattoos?* This field is required.

Yes

No

26

Location of Your Tattoos? * This field is required.

27

Headshot * This field is required.Clear lighting, NO filters please! Head to shoulders. 1 files allowed. jpg or jpeg Max file size 10MB

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

28

Full Body ShotHead to Waist or Head to toe.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

29

Website

30

Actors Access LinkIf you do not have an Actors Access Profile, Backstage or Casting Networks please