Last Name , First Name , Middle Initial , 

Parent or Guardian (If you are under the age of 18)

Address,

City ,                State ,                 Zip

Phone () -                Cell or Pager () -

E-mail Address

Birth Date //, Place of Origin (City, State, Country)

Height ft. in.,    Weight lbs.,    Dimensions (Bust, Waist, Hips) ,

Complexion ,

What are the best times to reach you? ,

What Character are you auditioning for? (Example: Man, Creole Speaking, 40 to 50) ,

List Theatrical or Film/TV Experiences ,

Briefly provide some background information on yourself in the space provided below. Be sure to include your future goals, past achievements, current activities, hobbies and interests.