Casting by Maggie Registration Form
Name
*
Please enter first and last name
Which roles do you want to play? (M/F)
*
Please Select
Male
Female
Year of Birth
*
Please enter full year (i.e. 2004)
Today's Date
E-mail
*
Phone
*
Alt Phone
Address
City
Province
Please Select
NL
NS
PEI
NB
PQ
ON
MN
SK
AB
BC
NU
NWT
YK
Postal Code
Legal to work in Canada
*
Please Select
Yes
No
Have a SIN Number
Please Select
Yes
No
In which prov. do you pay tax?
*
Please Select
NL
NS
NB
PEI
PQ
ON
MB
SK
AB
BC
YU
NWT
Citizenship
ACTOR STATUS
Please Select
Professional with ACTRA or SAG
Professional non UNION
Amateur
Extras work only
Are you an ACTRA Member
Please Select
Yes
No
ACTRA #
Interested in Auditions or Background
Please Select
Background
Auditions
Both
Availability
Please Select
Anytime
Anytime with Notice
Weekends Only
Previous Extra Work?
Please Select
Yes
No
Languages
Drivers Licence?
Please Select
Yes
No
Access to an Insured Vehicle
Please Select
Yes
No
Able to work in a smokey environment?
Please Select
Yes
No
Height
*
Please Select
shorter than 4'7
4'7
4'8
4'9
4'10
4'11
5'
5'1
5'2
5'3
5'4
5'5
5'6
5'7
5'7
5'8
5'9
5'10
5'11
6'
6'1
6'2
6'3
6'4
6'5
taller than 6'5
Weight (Lbs)
*
Waist (inches)
T-shirt
Please Select
smaller than extra small (includes child sizes )
Extra Small
Small
Medium
Large
Extra Large
XXL
3XL
4XL
5XL
larger than 5XL
Hip (inches)
Inseam (inches)
Shoe Size
Sleeve Length ( inches)
Hat / Head (inches)
Skin Tone
Piercings
Hair Colour
Corrective Lenses
Please Select
Yes Wear Glasses at all times
Yes wear contacts or glasses at all times
Yes but can get by without (or reading only)
No
Ring Size
Eye Colour
Tattoos
Foot Issues (Bunions arch support etc)
Allergies
Suit size (men)
Shirt Neck (men)
Dress Size (women)
Bra Size (women)
Experience /Special Skills
Photo
*
Jpg or Tif min-100 k, max-1 meg
Photo 2
Jpg or Tif min-100 k, max-1 meg
Enter the message as it's shown
*
Type a question
Type a question
Submit Form
Thanks! If you have any problems email me at maggie.keiley@me.com.
Should be Empty: