Potential Model/Actor Name *

First Name

Last Name

Please choose the appropriate response below: *

Yes, my child will be able to attend The Rock Agency Open Call at Nicole Thomas Photography on Saturday, February 23, 2019 between 12-3pm

No, unfortunately we will not be able to attend, but please keep me on the list for other upcoming open calls.

Model Date of Birth *

MM

DD

YYYY

Parent/Guardian Name (if model is under 18) *

First Name

Last Name

Parent Phone *

(###)

###

####

Is your child interested in acting or modeling? *

Acting

Modeling

Is your child currently signed with an agency? *

The Rock Agency is an exclusive agency. That means that The Rock Agency only signs talent that is not represented by another agency. That being said, please let us know if you are currently signed with another agency, as all are welcome and we understand that your circumstances can change.

Yes (Please list agency name and contract expiration below)

No