First Name
Last Name
Street Address
City
State AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Zip Code
Cell Phone
Home Phone
Work Phone
Email Address
Verify Email Address
MySpace URL
Facebook Name
Twitter Name
Year of Birth
Age 96-100 91-95 86-90 81-85 76-80 71-75 66-70 61-65 56-60 51-55 46-50 41-45 36-40 31-35 26-30 21-25 18-20 17 16 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 0
Ethnic Appearance Caucasian African-American Hispanic Asian Other
Ethinic appearance (If not listed above)
Gender Male Female
Height: 2’0 2’1 2’2 2’3 2’4 2’5 2’6 2’8 2’9 2’10 2’11 3’0 3’1 3’2 3’3 3’4 3’5 3’6 3’7 3’8 3’9 3’10 3’11 4’0 4’1 4’2 4’3 4’4 4’5 4’6 4’7 4’8 4’9 4’10 4’11 5’0 5’1 5’2 5’3 5’4 5’5 5’6 5’7 5’8 5’9 5’10 5’11 6’0 6’1 6’2 6’3 6’4 6’5 6’6 6’7 6’8 6’9 7’0 7’1 7’2 7’3 7’4 7’5 7’6
Weight
Eye Color Brown Blue Black Green Hazel
Hair Color Brown Blonde Auburn Red Black Grey/Silver Salt & Pepper Bald other
Hair Color (If not listed above)
Hair Length/Style Long Short Chin Length Shoulder length Bald(total) Bald on top Receding Buzzcut dreadlocks Mohawk other
Willing to cut hair? Yes No Maybe
Willing to dye hair? Yes No Maybe
Do you have body piercing? Yes No
Do you have Tattoos? Yes No
Pant Waist
Pant Inseam
Dress Shirt - Neck
Dress Shirt - Sleeve
Men’s T-Shirt
Men’s Shoe Size
Hat Size
Bust
Waist
Hips
Dress Size
Jeans
Slacks
Blouse
Woman’s T-Shirt
Woman’s Shoe Size
Shirt
Pants
Dress
Child’s Shoe Size
Do you smoke? Yes No
List any Health Concerns:
Are you willing to work in a swimsuit? Yes No Maybe
Are you willing to work nude? (18 and over) Yes No Maybe
When are you available to work? Check all that apply.
Where are you available to work? Check all that apply.
Have you ever worked as a a Background Extra? Yes No
Have you ever worked as a Stand-In? Yes No
Please list, Year, Make, Model, Color & Condition of every vehicle you have available to work on
Athletic Endeavors: Check all that apply.
Performance Skills: Check all that apply.
What else do we need to know about you? Work experience, Special Skills, Military Experience, etc…