Talent Name: _________________________________   Date of Birth: ___________________________

What do you think is your childs/your “age range?”  (no more than 4 years please)  _______ to _______

(under 18) Parent Contact: __________________________________

Home Phone: (______) _________-____________   Cell:  (______) _________-____________

Work: (______) _________-____________  Where do you work? ________________________________

Home Address:  __________________________________City/State/Zip__________________________

Email Address(es): _____________________________________________________________________

Height: __________   Weight: _________  Eye Color: ________  Hair Color:  _______________________

Hair Length: ____________________  Comments: ___________________________________________

Does your child have braces? _______ When will they come off? _______________________________

Does your child wear glasses?   _______  Contacts?   _____  Colored Contacts? _____

Shirt Size: _____              Pants Size: _____            Dress Size: _____            Shoe Size: _____

Are you:      _____SAG     _____ SAG Eligible     _____AFTRA     _____Equity    ____Don’t Know

Availabile to audition/work in:  (use back if you’d like to make comments)

_____ GA      _____  NC      _____SC    _____TN     _____FL    _____New Orleans  _____AL

                _____  *Los Angeles     _____* NYC  (*meaning you are willing to fly at own expense)

Do you have a website?  ______     Web address:  _________________________________________

Are you on IMDB? _______________

Does your child have another agent? If yes, who?  ________________________________________

What areas do they represent? ________________________________________________________

Does your child have a manager or other “mother agency?” Who? _______________________________

Do you have other children in the biz?  Ages?  Are they looking for/do they have representation or  do they have representation?  With what agency?_________________________________________ ____

Have you been to “pilot season” in L.A.?__________  How long were you there? _____________

(Please use back to make any comments about your experiences there, agencies, jobs, etc.)

If under 6, does child read? _________     What school does your child attend? _____________________

What is their policy on missing school for auditions/jobs? _____________________________________

_____________________________________________________________________________________

Do you have professional headshots?  __________  Do you have a comp card/ZED? _________________

Use a 1 to 10 scale to respond to these statements as honestly as possible.

1=not that interested/not true    5=moderately interested/somewhat true     10=will do anything, def. yes

I check my email every day. ________    I feel competent on the computer. ________

I always return an agent’s phone calls within two hours.  ________

I can put myself/my child on tape (mini DV) for an audition. ________

I can easily put my child on tape and upload it to the internet or burn it to a disc.  _______

I consider myself computer savvy.   ________

My child can miss school for an audition.  ________

I can always get my child to an audition. ________

I plan to go to pilot season in L.A. next year.   _______ 

I can and WILL drive/fly to Atlanta with a day’s notice for an audition.  ________

I can and WILL drive/fly to Wilmington with a day’s notice for an audition.  ________

I can and WILL drive/fly to Charlotte with a day’s notice for an audition.  ________

I can and WILL drive/fly to New Orleans with a day’s notice for an audition.  ________

Acting is my child’s #1 priority. ________            

Acting is not a priority, but something he/she enjoys. ________

I am completely dedicated to supporting my child in the biz. ________

My spouse is completely dedicated to supporting my child in the biz. ________

My child would choose to go to an audition over attending a birthday party.  ________

I believe that my child is ready for a starring role in a feature film. ________

I believe that my child has adequate training at this point.  ________

My child is capable of walking unattended into an audition room/onto a set. ________

I am capable of allowing my child to walk in unattended. ________

I consider myself as a “beginner” in the biz. ________ I consider myself as a “pro” in the biz. ________

It is difficult for our family to finance this endeavor.  ________

 

What do you think is your child’s greatest WEAKNESS in acting? What areas do you think need improvement?  (improv, cold reading, script study, character analysis, etc)____________________

_________________________________________________________________________________

_________________________________________________________________________________

What is your approximate driving time to the following?  (Assuming normal traffic.)

Atlanta Airport:  ___________       Buckhead Atlanta:  ___________    Charleston:  ___________  

Athens:  ___________     Wilmington:  ___________      Charlotte:  ___________   

Savannah:  ___________    

Anything else I should know??  (use the back)