Casting Males and Females for Joint Pain Project

 
Males - Female - All Ethnicities

Ages: 25 - and Older

If you want to take part in the assignment Fill out the form below:
Model or Talent's First Name
Model or Talent's Last Name
Your I D Number (the number listed on your web page). If you don't know it, or are not listed with StarMaker leave it blank.
Email Address:
Current Home Phone:
Current Cell Phone
Are you signed with an agency? Yes
No
If you are signed with an agency or listed with StarMaker indicate it here.
Are you a member of SAG - Screen Actors Guild or AFTRA? Yes
No
What is your age?
Do you have joint pain? Yes
No
Where is your joint pain? Check all that apply: Neck
Back
Elbows
Wrist
Hands
Knee
Shoulders
Fingers
Ankles
Hips
Toes
How severe is your joint pain? (Check the one that applies best) Mild Pain
Mild to Moderate Pain
Moderate Pain
Moderate to Severe Pain
Severe Pain
Severe to Extreme Pain
Extreme Pain
Are you willing to try the product at the client's location and do an on camera testimonial about how the product worked. Then take the product home and try for 2 weeks and return and give a second testimonial? Yes
No
What City in Arizona Do You Live in?
Do you have a car? Yes - I have a car.
No - I do not have a car.
No Car but I can get to assignments by bus.
No Car - I can get a ride to assignments.
Remarks:
If you have a current photo of yourself you can upload it. If not we will use you photo that is on file.
I have been informed, understand, authorize and request StarMaker to send me emails and/or Video Emails on model and talent castings, assignments and/or offerings related to the modeling, acting or the entertainment industry. StarMaker will not give out or sell your email address to any other company or individual unless it is for a modeling or acting assignment or audition. Yes