Membership Application
Personal info:
First name:
MI :
Last Name:
Salutation:
Occupation:
SSN:
Contact information:
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Alternate Contact Name:
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Characteristics:
Gender:
Male
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Date of Birth:
January
February
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31
Age under 18:
1
2
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5
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8
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10
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17
Height
(eg 5'9")
Weight:
lbs.
Film Credits:
Please list film name, production company and your role.
Expected base salary for one day (roll call to wrap)
$ 0-100
$ 100-200
$ 200-300
Other:
Horseback riding skills:
Will not ride
No experience
Novice 1-5 years
Experienced 5-10 years
Expert
Stunts:
Will not do stunts
No experience
Novice 1-5 years
Experienced 5-10 years
Expert
Do you have your own uniform(s) and/or civilian clothing? If so, please describe which periods, and types of impression you can cover.
Are there any historical/repro props and set dressing items you can provide for productions? (e.g. tents, wagons, farm implements, tableware, etc)
Hobbies:
Distance willing to travel:
0-1 hours
1-5 hours
5-10 hours
Unlimited hours
Upload Photographs:
(JPEGs only)
Photo 1:
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