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application for representation

First name
Last name
Street Address
City/Town
Province
Country
Postal Code    
Daytime Phone
 Cell Phone
Evening Phone
Fax
Email Address
Date of Birth D/M/Y Age
Gender

Weight lb.
Eye Colour Hair Colour
Height Hair Length
Male:

Female: Bust Hips
Male: Facial Hair female: Dress
Male: Neck Female: Waist
Male: Chest Female: Shoe
Male: Inseam Female: Jacket

Are you Currently Represented? Yes / No
If "yes" by whom is your current representation

Are you Currently a member of a Union, such as ACTRA or SAG etc? Yes / No
If "yes" current Union

How did you hear about Atlantic Talent?

If "Other", please specify

EXPERIENCE: list acting / modeling training and anything you performed in.

Any scars, piercings or tattoos. (Some castings want certain piercings or tattoos and others don't).

Medical & Allergy Alert: list any medical or allergy information that we should know about.

Your Comments:

IMPORTANT: To complete your application email us a recnt photograph of yourself to info@atlantictalent.ca. Please put your first and last name as your photograph's file name. (the file name is just below your photograph). Example: Joe Smith1.jpg, Joe Smith2.jpg, Joe Smith3.jpg, etc.

I am at least 18 years old. minors (under the age of 18) require parental permission. If you are the parent/guardian of a minor submitting this application, to give consent please fill in your own information in the rest of this application.

Name Today's Date D/m/y Your age

Only completed applications will be considered. Atlantic Talent Agency has the right to decline any application for representation. Because of the volume of applicants, only successful applicants will be contacted for an interview. Please be patient as we have a waiting list for interviews.

Submitting this application form is considered a digital signature and I confirm that the information provided in this form is true and accurate.

Submitting this Application does not guarantee talent representation or any performance related work.