First name of person that currently is or wants to be a model or actor:
Last Name of person that currently is or wants to be a model or actor:
Age of person who is or wants to be a model, actor, singer, dancer?
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Age in Years, Months or weeks?
Years
Months
Weeks
Is model/talent male or female?
Male
Female
Name of parent if model or actor is under 18 years of age. (First and Last Name)
Name of 2nd parent is model or actor is ubder 18 years of age. (First and Last Name)
What city do you live in? (if in Arizona)
Phoenix
Mesa
Tempe
Gilbert
Glendale
Chandler
Scottsdale
Surprise
Peoria
Queen Creek
Ahwatuke
Ajo
Alpine
Aquila
Arlington
Amado
Anthem
Apache Junction
Arivaca
Arizona City
Ash Fork
Avondale
Bagdad
Bapchule
Benson
Bisbee
Black Canyon City
Bouse
Buckeye
Bullhead City
Cameron
Camp Verde
Carefree
Casa Grande
Catalina
Cave Creek
Chandler
Chandler Heights
Chinle
Chloride
Chino Valley
Clarkdale
Claypool
Clifton
Coolidge
Cordes Junction
Cottonwood
Crown King
Deer Valley
Desert Hills
Dewey
Dolan Springs
Douglas
Dragoon
Duncan
Eagar
East Mesa
Ehrenberg
El Mirage
Elfrida
Elgin
Eloy
Flagstaff
Florence
Forrest Lakes
Fort Defiance
Fort Huachuca
Fort Mohave
Fountain Hills
Fredonia
Gila Bend
Gilbert
Glendale
Globe
Gold Canyon
Golden Valley
Goodyear
Grand Canyon
Gray Mountain
Green Valley
Greer
Guadalupe
Hayden
Heber
Higley
Holbrook
Hope
Huachuca City
Humboldt
Jacob Lake
Jerome
Joseph City
Kayenta
Keams Canyon
Kearney
Kingman
Lake Havasu City
Lake Montezuma
Lake Powell
Lakeside
Laveen
Litchfield Park
Littlefield
Mammoth
Mariana
Maricopa
Marble Canyon
Maricopa
Mayer
McNeal
Meadview
Mesa
Miami
Mohave Valley
Morenci
Morman Lake
Morristown
Mount Lemmon
New River
Nogales
Oatman
Oracle
Oracle
Oro Valley
Overgaard
Page
Paradise
Paradise Valley
Parker
Patagonia
Paulden
Payson
Peach Springs
Pearce
Peoria
Peridot
Phoenix
Pima
Pine
Pinetiop
Pomerene
Portal
Prescott
Prescott Valley
Quartzsite
Queen Creek
Rico Rio
Sacaton
Safford
Sahuarita
Saint Johns
Sahuarita
Salome
San Carlos
San Manuel
San Simon
Scottsdale
Second Mesa
Sedona
Seligman
Show Low
Sierra Vista
Skull Valley
Snowflake
Somerton
Sonoita
Spring Valley
Springerville
Stanfield
Strawberry
Sun City
Sun City West
Sun Lakes
Sunsites
Superior
Surprise
Taylor
Tempe
Thatcher
Tolleson
Tombstone
Tonopah
Tsaile
Tubac
Tuba City
Tucson
Tumacarori
Tusayan
Vail
Verdey Valley
Vernon
Waddell
Wellton
Wenden
White Mt. Lake
Whitriver
Wickenburg
Wilhoit
Willcox
Williams
Window Rock
Winkelman
Winslow
Whittmann
Yarnell
Young
Youngman
Youngstown
Yuma
Outside of Arizona
Outside of USA
What State do You Live In?
Arizona
Alaska
Arkansas
Alabama
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
What Country do you live in? If outside of the United States
United States
Afghanistan
Albania
Algeria
Angola
Antigua & Barbuda
Argentina
Armenia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium, Nederlands
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Democratic Republic of Congo
Republic of Congo
Costa Rica
Côte d'Ivoire
Croatia
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Eastern Caribbean States
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
European Union
Fiji
Finland
France
Gabon
The Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic
Iraq
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan| ???????
Kenya
Kiribati
Korea, Republic of
Kosovo
Kuwait
Kyrgyz Republic
Lao PDR
Latvia
Lebanon
Lesotho
Liberia
Libya
Lithuania
Luxembourg
FYR of Macedonia
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nepal
Netherlands
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Republic of Congo
Romania
Russian Federation
Rwanda
Samoa
São Tomé & Príncipe
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
St. Kitts and Nevis
St. Lucia
St. Vincent and Grenadines
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Tajikistan
Tanzania
Thailand
Timor Leste(East Timor)
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Uganda
Ukraine
United Arab Emirates
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
West Bank and Gaza
Yemen
Zambia
Zimbabwe
What is your home phone including area code?
What is your cell phone including area code?
Email Address:
2nd Email address if any:
What do you want to be a part of?
(Check all that apply)
Modeling
Acting
TV Commercials
Movies
Movie Extras
Fashion Shows
Music Videos
Singing
Dancing
Promotional Modeling
Voice Overs
How did you find out about StarMaker?
(Check all that apply)
Arizona Republic
Job Examiner
Yellow Pages
Craigslist
Backpage.com
Television
KISS FM Radio
Google Web Search
Yahoo Web Search
Better Business Bureau
Word of Mouth
My Space
Facebook
Other
Tell us why you feel you or your child would be a good model or actor.
List any experience that you have in modeling or acting. You can also list any training (such as modeling, dance, etc.) that you have.
If you are responding to a specific casting(s) or assignment(s) please list them here
Do you have a car to take you on assignments?:
Yes, I own a car.
No - But I can get a ride.
No - But I take the bus.
No - But I use my bike.
If you were given a REFERENCE NUMBER to give us please indicate it here:
Send us a photo of model or talent.
Send a second photo of model or talent.
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, acting, tv commercial, film or similar assignment or audition.
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