VA -OMNOW

EXTRAS

OMNOW EXTRAS SUBMISSION FORM

Date: 5/13/2024 7:57 PM

First Name(required)

Last Name(required)

Select Opportunity you are submitting for (required)

How did you hear about this opportunity?(required)

You selected "OTHER" please list how you found out about this opportunity!(required)

Have you been booked by Jäderlund Casting in the past 12 months?(required)

Please List the Name of Project(s) Jaderlund Casting booked you on in the past 12 Months (required)

Age Range(required)

Email address(required)

Phone Number(required)

Confirm Email address(required)

Alternate Phone Number(required)

Emergency Contact Name(required)

Guardian's Name(required)

Emergency Contacts Phone Number(required)

Guardian's Phone Number(required)

Union or Non-Union(required)

I UNDERSTAND THAT I AM SUBMITTING MYSELF AS A CANDIDATE FOR CONSIDERATION AS AN EXTRA ON A NON-UNION OPPORTUNITY. (required)

Ethnicity(required)

Gender(required)

Select Gender you Identify with.

Native American Tribe you belong to?(required)

Do you have your own Native American Regalia ?(required)

Upload a photo of you in your Native American Regalia.(required)

RICHMOND VIRGINIA

Select your availability this week below. If booked please be aware that these are full work days and tentative "CALL TIME" each day may be as early as 6AM. You will be required to SELF-REPORT to SET Rate: $450/8 (NU)

WEDNESDAY,APRIL 24th (required)

YES

FRIDAY, APRIL 26th(required)

YES

Country:(required)

State:(required)

Provinces(required)

City(required)

Height(required)

Shoe Size(required)

Waist(required)

Inseam(required)

Jacket(required)

BWH(required)

BUST- WAIST - HIPS

Dress Size(required)

Hair Color(required)

Are you willing to cut your Hair ?(required)

Do you have a Beard?(required)

Are you willing to shave your Beard?(required)

Hair Length(required)

Equestrian Skill(required)

Rate your self 1-10 ( How well can you ride a horse? )

Upload Headshot or Snapshot(required)

Maximum size 8MB

Head to Toe (FULL BODY)(required)

Maximum size 8MB

Upload Resume .PDF ONLY

NOT REQUIRED

YOUTUBE REEL LINK

not required

I UNDERSTAND THAT IF SELECTED FOR THIS OPPORTUNITY THE TENTATIVE FILMS DATES ARE APRIL 2024

I UNDERSTAND THAT THIS IS NOT A BOOKING AND THAT I AM SIMPLY SUBMITTING MY INFORMATION TO BE CONSIDERED AS A CANDIDATE FOR THIS OPPORTUNITY.

Are you willing to work as a LOCAL HIRE?(required)

Are you able to SELF-REPORT to Set? (required)

NDA [non-disclosure agreement](required)

I AGREE AND UNDERSTAND : The Parties shall (i) use reasonable efforts to maintain the confidentiality of the information and materials, whether oral, written or in any form whatsoever, of the other that may be reasonably understood, from legends, the nature of such information itself and/or the circumstances of such information’s disclosure, to be confidential and/or proprietary thereto or to third parties to which either of them owes a duty of nondisclosure (collectively, “Confidential Information”);

CONFIDENTIALITY (required)

I AGREE AND UNDERSTAND : I am not allowed to use, reproduce, disclose, furnish,reveal,communicate, transfer, or make accessible to any other person any information that you acquire or learn about in connection with and during any projects I submit for and or Hired on.

Date(required)

FULL NAME(required)

DIGITAL SIGNATURE

Type the characters(required)

ERROR: MUST BE WILLING TO WORK AS A LOCAL HIRE