Stage Name
*
Legal Name
*
First Name
Last Name
Date of Birth:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Address
*
ALL OTHER NAMES EVER USED:[prior stage names]
Email
*
example@example.com
Form of identification:
*
Identify if it is a Passport, State Id, Drivers License or other For this document you only need one.
ID #
*
The number of your identification document
What state did you film in?
*
Example: Nevada. California
Signature:
*
Please Sign your Initials
*
Today's Date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Please make sure to add today's date.
Include a picture of the FRONT of your identification
Browse Files
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Choose a file
Please make sure that the text is clear.
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of
Upload a picture of the BACK of your ID
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Please make sure that the text is clear.
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of
Upload a picture of you HOLDING your ID next to your face
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of
OF Username
Twitter Username
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