| First
name: |
_____________________________
|
| Middle
name: |
_____________________________
|
| Last
name: |
_____________________________
|
| Nickname: |
_____________________________
|
Have
you ever formally or otherwise changed your
name? If so, what other names have you used
and why? ______________________________________________________________________________________________ |
Contact
numbers |
|
| Home: |
_____________________________
|
| Mobile: |
_____________________________
|
| Work: |
_____________________________
|
| Other
(friend or relative): |
_____________________________
|
| |
|
| Your
address: |
_________________________________________________________________
|
| City: |
_______________________ |
| State: |
___ |
| Zip
code: |
_______ |
| Who
do you live with?: |
______________________________
|
|
Where do you consider
your hometown?: |
___________________________________________ |
| Email
address: |
______________________ |
| Do
you have a homepage
on the Internet? If
so,
what is the address?: |
______________________________
|
| Drivers
License number:
|
______________________________
|
| Social
Security number:
|
______________________________
|
| Gender
(circle one): |
Male Female |
| Age
(as of today): |
______________________________
|
| Birth
date (month/day/year):
|
______________________________
|
| Occupation:
|
______________________________
|
| How
long have you been at this job?:
|
___________ |
| Name
and phone number of
an emergency contact:
|
_________________________________________________
|
| Marital Status (circle one) |
|
|
| Single |
How long? |
_______________________ |
| Boyfriend or Girlfriend |
How long? |
_______________________ |
| Married |
How long? |
_______________________ |
| Living with significant
other |
How long? |
_______________________ |
| Separated |
How long? |
_______________________ |
| Divorced |
How long? |
_______________________ |
| Widowed |
How long? |
_______________________ |
|
Do
you have children? If so, please list their
name(s) and age(s). ______________________________________________________________________________________________ |
| Former
High School:
|
_________________________________________________
|
| Graduation
year:
|
______________ |
| City
and state of former high school:
|
______________________________________ |
Describe
yourself in high school: ______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
|
How
would you describe your high school experience?
(check one):
___
Fun ___ Awful ___ Neutral
|
If
you were a member of The Breakfast Club
(the movie), which would you be?
___
The Brain ___ The Athlete ___
The Princess ___ The Criminal ___
The Basketcase |
How have you changed since high school? __________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_______________________________________________________________________
Who would you most like to see at your
reunion and why? _____________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_______________________________________________________________________
What is the best thing that could happen
at your reunion? _____________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_______________________________________________________________________
What is the worst thing that could happen
at your reunion? ____________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_______________________________________________________________________
Who did you have a crush on in high school?
________________________________
_________________________________________________________________________
_______________________________________________________________________
Who had a crush on you in high school?
____________________________________
________________________________________________________________________
______________________________________________________________________
Who was your best friend in high school?
___________________________________
________________________________________________________________________
______________________________________________________________________
Who was your worst enemy in high school?
_________________________________
________________________________________________________________________
______________________________________________________________________
With which of your former classmates do
you still keep in touch with?___________
_________________________________________________________________________
_________________________________________________________________________
_______________________________________________________________________
One is the one thing about your life now
you’d like your former classmates
to know?
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
________________________________________________________________________
|
|
In
your class, who would you have voted: |
|
| Most
likely to succeed: |
_____________________________
|
| Hottest
girl: |
_____________________________
|
| Hottest
guy: |
_____________________________
|
| Complete
outcast: |
_____________________________
|
| Biggest
jock: |
_____________________________
|
| Biggest
bully: |
_____________________________
|
| Class
clown: |
_____________________________
|
| Biggest
nerd: |
_____________________________
|
| Worst
reputation: |
_____________________________
|
| Biggest
flirt: |
_____________________________
|
| Cutest
couple: |
_____________________________
|
| Most
popular: |
_____________________________
|
Have you ever been a professional performer
within the entertainment industry?
If so,
what do you do/ have you done? ____________________________________
_____________________________________________________________________
Include TWO Current Photographs of yourself
(face close-up and full-body). Images will
not be returned. Either attach a digital
photograph to your submission confirmation
email, or mail a photograph to us, with
a copy of your application. Please check
whether you are attaching your photograph
by e-mail or mailing it:
I am attaching my Current Photo to my
email _____
I am mailing my Current Photo _____ |
Waiver and Release
Statement
BY PROVIDING THE
ABOVE INFORMATION YOU AGREE AND ACKNOWLEDGE
THAT AND SYNDICATED PRODUCTIONS, INC. (HEREINAFTER "AND")
MAY USE ALL MATERIAL AND INFORMATION YOU
HAVE PROVIDED IN THIS GUEST APPLICATION
AND/OR DURING ANY INTERVIEW OR MEETING
WITH YOU, INCLUDING, BUT NOT LIMITED TO
ANY PHOTOGRAPHS OR HOME VIDEO THAT YOU
PROVIDE TO US, (HEREINAFTER THE "INFORMATION").
YOU WARRANT AND AGREE THAT YOU ARE THE
SOLE COPYRIGHT OWNER OF ANY PHOTOGRAPHS
OR HOME VIDEO THAT YOU PROVIDE TO US. YOU
FURTHER AGREE AND UNDERSTAND THAT AND SHALL
HAVE THE PERPETUAL, IRREVOCABLE AND UNENCUMBERED
RIGHT (BUT NOT THE OBLIGATION) TO USE,
DISTRIBUTE AND EXHIBIT (AND/OR TO AUTHORIZE
OTHERS TO USE, DISTRIBUTE AND EXHIBIT)
ALL OR PART OF THE INFORMATION IN ANY WAY
IT DEEMS FIT, INCLUDING, WITHOUT LIMITATION,
SHARING SAID INFORMATION WITH THIRD PARTIES
(INCLUDING, WITHOUT LIMITATION, YOUR FELLOW
CLASSMATES) AND USING, DISTRIBUTING AND
EXHIBITING SAID INFORMATION IN ANY AND
ALL MEDIA NOW KNOWN OR HEREAFTER DISCOVERED,
IN PERPETUITY, THROUGHOUT THE WORLD, INCLUDING
WITHOUT LIMITATION, IN AND IN CONNECTION
WITH SEGMENTS OF THE TELEVISION PROGRAM "HIGH
SCHOOL REUNION" (THE "PROGRAM")
(AND IN CONNECTION WITH ALL ANCILLARY,
INCIDENTAL AND SUBSIDIARY RIGHTS RELATED
THERETO), AND IN TELEVISION, RADIO, AND
OTHER ADVERTISEMENTS AND PROMOTIONS FOR
THE PROGRAM AND OTHER PROGRAMS. YOU FURTHER
UNDERSTAND AND AGREE THATAND SHALL FURTHER
HAVE THE PERPETUAL, IRREVOCABLE AND UNENCUMBERED
RIGHT (BUT NOT THE OBLIGATION) TO EDIT
SUCH INFORMATION, AND THE PROGRAM AS AND
WISHES. YOU ALSO UNDERSTAND AND AGREE THAT
AND MAY ASSIGN THIS AGREEMENT IN WHOLE
OR IN PART AND THE RIGHTS GRANTED HEREIN
SHALL INURE TO THE BENEFIT OF AND, AS WELL
AS TO ITS LICENSEES, DESIGNEES, SUCCESSORS,
AGENTS, AND ASSIGNS.
YOU HEREBY WARRANT AND AGREE YOU WILL NEVER
SUE AND OR ANYONE BECAUSE: 1) AND, ITS
LICENSEES, DESIGNEES, SUCCESSORS AND ASSIGNS
DID NOT TAKE OR USE THE INFORMATION GIVEN
BY YOU; OR 2) YOU DO NOT LIKE THE MANNER
IN WHICH AND TOOK OR USED THE INFORMATION.
YOU HEREBY RELEASE AND FROM AND AGAINST
ANY AND ALL CLAIMS, DEMANDS, CAUSES OF
ACTIONS OF EVERY KIND OR NATURE, WHICH
YOU MAY NOW HAVE OR MAY HEREAFTER ACQUIRE,
ARISING OUT OF OR IN CONNECTION WITH YOUR
PARTICIPATION IN THE PROGRAM AND GIVING
OF INFORMATION, INCLUDING, WITHOUT LIMITATION,
ANY CLAIMS, DEMANDS AND CAUSES OF ACTION
FOR INVASION OF PRIVACY OR PUBLICITY, DEFAMATION,
INFLICTION OF EMOTIONAL DISTRESS AND ANY
OTHER TORT IN CONNECTION THEREWITH. YOU
HEREBY ACKNOWLEDGE AND AGREE THAT YOU ARE
NOT AND WILL UNDER NO CIRCUMSTANCES AS
A RESULT OF THE SUBMISSION OF THIS APPLICATION,
PARTICIPATION IN THE SELECTION PROCESS,
PARTICIPATION IN THE PROGRAM, THE USE OF
THE INFORMATION OR ANY RECORDINGS AND/OR
THE USE OF THE YOUR NAME, VOICE, AND/OR
LIKENESS IN CONNECTION WITH THE PROGRAM,
THE PROMOTION THEREOF IN ALL MEDIA NOW
KNOWN OR HEREAFTER DEVISED OR FOR ANY OTHER
REASON IN CONNECTION WITH YOUR APPLICATION
AND/OR PARTICIPATION IN THE PROGRAM BECOME
AN EMPLOYEE OR AN INDEPENDENT CONTRACTOR
OF THE PRODUCER OR ANY RELATED COMPANIES
AND WILL NOT MAKE ANY CLAIMS AGAINST PRODUCER
AND/OR SUCH COMPANIES, INCLUDING, WITHOUT
LIMITATION, CLAIMS FOR COMPENSATION, DERIVED
FROM ANY ALLEGATION OF STATUS AS AN EMPLOYEE.
YOU FURTHER ACKNOWLEDGE AND AGREE THAT
YOUR RELATIONSHIP TO PRODUCER AND/OR ANY
RELATED COMPANIES IS AND SHALL BE LIMITED
SOLELY TO THAT OF A GRANTOR OF RIGHTS.
|
I have read and agree with the Waiver and Release
Statement. Signature:_________________________________________________________
PLEASE MAKE SURE YOU DID ALL
OF THE FOLLOWING:
--Used a Dark Ink Pen
--Attached or Emailed TWO
Current Photos (Face Close-Up and
Full-Body)
--Faxed or Mailed the Application
(or both if you can) to:
HIGH SCHOOL REUNION CASTING
Kassting
Inc.
6380 Wilshire Blvd.,
Suite 1015
Los
Angeles, CA 90048
FAX: 323 297-7101
Email the Casting Department
to alert us of your submission:
HSReunion@kasstinginc.com
Encourage your fellow classmates
to apply!
DISCLAIMER: Although we hope that
you will encourage your fellow classmates
to visit this website and check out
the show and the application process,
we respectfully request that you will
refrain from any discussion and/or
sharing of your answers to the survey
questions with anyone, particularly
your classmates and members of the
media/press. Failure to comply with
this request could disqualify you from
the chance to participate in the project.
|
|