Please attach a clear recent photo: *
First Name *
Last Name *
Date of Birth: *
Cell Phone: *
Are you legally eligible to work in the United States? *
Please list the URLs or handles for any personal websites and/or social media webpages for you and your child (Instagram, Twitter, Facebook, etc.):
How would you describe yourself?
What are the personality traits you are most proud of? Least proud of?
What is your proudest personal achievement?
What challenges do you face managing your child’s career?
What is a typical busy day like for you as a “Momager”?
Do you have a career outside of managing your child? *
Please tell us about your child/children and their talent(s) (singer, dancer, etc.):
Describe your child’s personality:
What accomplishments has your child already made in their professional career? *
What sets them apart from others who are doing the same thing? *
How would you describe your parent/child relationship?
What are your aspirations for where your child will end up? *
Tell us why you and your up and coming star will make great television!
Are you currently or have you ever been in the Military? If yes, which branch, for how long, and what is your current status? *
If yes, which branch, for how long, and what is your current status?
Have you ever acted, performed or appeared on television or in other media? If yes, please explain: *
Are you currently under consideration for any reality television shows, including, without limitation, any game or contest shows? If yes, please explain: *
Are you or your son or daughter a member of any professional performing arts unions (e.g. AFTRA or SAG)? If so, please specify: *
CASTING RELEASE *
This application may be executed by original, facsimile or electronic signature. Any signed copy of this application delivered by facsimile or electronic transmission shall for all purposes be treated as if it had been delivered containing my original signature, and shall be binding upon me in the same manner as though an original signed copy had been delivered.
Todays Date *
LIST ALL PRIOR NAMES, ALIASES, PROFESSIONAL/STAGE NAMES, ETC.: *
[THIS INFORMATION IS BEING OBTAINED AND WILL BE MAINTAINED SOLELY FOR LEGALLY-MANDATED RECORD-KEEPING PURPOSES.]