Press Represents – Talent Intake Form Talent Intake Form Please complete all fields — required items are marked with ✦ ✦ General Information Full Name ✦ Today's Date ✦ Date of Birth ✦ Birth Place ✦ Nationality / Ethnicity ✦ Pronouns ✦ she/her/hers he/him/his they/them/theirs Other ✦ Contact Information Mobile # ✦ Preferred Email ✦ Home Address ✦ Emergency Contact — Name & Relation ✦ Emergency Contact — Phone # ✦ ✦ Work Authorization & Unions Visa Type & Duration (if applicable) SAG / Unions ✦ Other Agencies (US & International) ✦ Referred By ✦ ✦ Measurements Height ✦ Shoe Size ✦ Dress Size Cup Size Bust / Chest Waist Hips Inseam ✦ Appearance Hair Color ✦ Hair Length Eye Color ✦ Pierced Ears ✦ Body Piercings ✦ Tattoos (where/what) ✦ Scars (where) ✦ Allergies ✦ ✦ Relationship Status Relationship Status ✦ Single In a relationship Other Would your partner be willing to work on couples projects? Yes (please email a photo of the two of you together) No Not applicable ✦ Social Media Instagram ✦ TikTok ✦ Facebook ✦ Twitter / X ✦ ✦ Experience Acting Experience ✦ Yes No Dance Experience ✦ Yes No Runway Experience ✦ Yes No Other Languages ✦ Sports, Hobbies & Special Skills ✦ ✦ Skills Checklist Check all that apply. Use the notes field at the end to indicate your skill level (1 = Novice, 2 = Intermediate, 3 = Expert). General Sports Aerobics Archery Badminton Baseball Basketball Baton Twirling Billiards Bowling Boxing Canoeing Cheerleading Cricket Fencing Fishing Football Golf Gymnastics Hang Gliding Hiking Ice Hockey Ice Skating Jet Ski Kayaking Mountain Climbing Ping Pong Rock Climbing Roller Skating Rollerblading Rugby Running Skateboarding Skydiving Snowboarding Snow Skiing Soccer Softball Surfing Tennis Volleyball Water Polo Water Skiing Weight Lifting Wrestling Swimming General Back Stroke Breast Stroke Butterfly Diving Freestyle Synchronized Martial Arts Aikido Hapkido Jui-jitsu Judo Karate Kick Boxing Krav-Maga Kung Fu Tae Kwon Do Tai Chi Par Kour Dance Ballet Ballroom Belly Breakdance Club/Freestyle Flamenco Hip Hop Irish Step Jazz Modern Pointe Pop Locking Salsa Swing Tango Tap Waltz Track & Field / Cycling Sprinting Marathon High Jump Hurdles Long Jump Pole Vault Triathlon BMX Mountain Biking Road Biking Unicycle Instruments Accordion Banjo Bass Guitar Cello Clarinet Drums Flute Guitar Harmonica Harp Piano Saxophone Trumpet Viola/Violin Singing General Country Folk Jazz Musical Theater Opera Pop R&B Rap Alto Soprano Tenor Baritone Equestrian / Driving Equestrian English Dressage Driver's License Motorcycle Boat Sail Boat Pilot Circus / Miscellaneous Contortionist Hula Hoop Juggling Mime Trapeze Carpentry Chef Disc Jockey Improv Pilates Yoga Teleprompter Additional Skills / Skill Levels (1=Novice, 2=Intermediate, 3=Expert) ✦ Comfortability (18+ Talent) Animal Fur Yes No LGBTQIA+ Projects Yes No Swimsuit (18+) Yes No Underwear (18+) Yes No Topless (18+) Yes No Nude (18+) Yes No Alcohol Advertisements (25+) Yes No Cigarette Advertisements (25+) Yes No ✦ Personal Bio & Notes Personal Bio / Any Notes Submit Application By submitting, you confirm the information provided is accurate to the best of your knowledge. ✦ Application Received Thank you for submitting your information to Press Represents. We'll be in touch soon! Something went wrong. Please try again or email us directly.
