CONTACT

PERFORMER INTAKE FORM

PERFORMER INTAKE FORM

Select

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Email Address

Website

http://

Demo Reel

http://

Link To Current Headshot (Full Body Front, Profile, Headshot Front, Profile)

http://

OTHER

Company Name

Information is mandatory for contract

Select 1

HST/GST/QST Number

Information is mandatory for the contract. If You

Social Insurance Number

Information is mandatory for contract

Union Affiliation

Membership Type

Membership Number

Would You Do SSE Work?

APPEARANCE

Eye Colour

Hair Colour

Add Hair Colour If Not Mentioned Above

Hair Length

Hair Type

Tattoos If Noticeable Where Are They?

MEASURMENTS

Height (feet)

Weight (lbs)

Hat Size (inches)

Jacket Size (inches)

Pants Waist (inches)

Pants Inseam (inches)

Woman Bust

Woman Hips

PHOTO

Name

First Name

Last Name

Email Address

Subject

Message

If you’d like to get in touch with me regarding

a new project, you can get in touch via

the form. Or, if you are a performer, please

click the Performer Intake Form button and

complete.

I look forward to hearing from you,

Hubert.