Application Form
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This form will take approximately 10 minutes to complete. To make it as easy as possible please ensure you have all of your details ready, and that you have a recent photo of yourself to upload.
Contact Details
First Name
*
Surname
*
Physical Address
*
Postal Address - if different from physical address
Home Phone Number
Work Phone
Cell Phone
*
Fax Number
Email Address
*
Emergency Contact Person Details
Name
Relationship
Home Phone
Work Phone
Personal Details
Date of Birth (dd/mm/yyyy)
*
Occupation
Employer/Company Name/School
Natural Accent
*
Ethnicity
*
Hair Colour
*
Personal Details Continued
Eye Colour
*
Skin Colour (dark, olive, medium, fair)
*
Scars/Tattoos/Piercings (list location and size)
Height
*
Shoe Size
*
Clothing Size
*
Do you have access to a car?
Yes
No
License Type
Full License
Female Measurements
Bust
Waist
Hips
Bra Size
Male Measurements
Collar
Chest
Waist
Inside Leg
Skills and Experience
Learned Accents
Sports Played Competently
Musical Instruments Played Competently
Dance Skill and Level
Singing/Voice
Beginner
Intermediate
Advanced
Relevant Experience (list year, type and director)
Relevant Training (list year, institution and type)
Payment Information
Account Name
Bank
Branch
Account Number
Tax Status
Withholding Tax
GST Registered
IRD/GST Number
Type of Representation
I want to be represented as an
*
Actor
Talent
Model
I will work as an extra
Yes
No
Please upload a recent photo of yourself (these must be under 2MB, and jpegs only)
*
*
On accepting representation with Kirsty Bunny Management, I would accept Kirsty Bunny Management as my only agency, and give Kirsty Bunny Management permission to negotiate fees and negotiate and sign contracts for all work on my behalf.
*
There is no valid reason in my personal or professional background and associations that would discredit or damage the reputation of any production and/or Kirsty Bunny Management.
