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2. Contact Information
4. Talent's First Name*
5. Talent's Last Name*
7. Address1*
9. Address2
11. City*
12. State*
13. Zip*
15. Phone Number*
16. Email Address*
18. Age - We need talent of all ages!*

    Age

19. Gender
21. Parent/Guardian

    If the individual identified as the talent is under 18, are you the legal Parent/Guardian of the named talent?

23. Parent/Guardian Name

    If you are the Parent/Guardian, please provide your name.

25. Select all project types that interest you:*

    1. Photo
    2. Video
    3. Voice Over
    4. Mascot
27. Experience

    No experience is necessary, but if you have experience you would like to share, provide details.

29. Please select the times when you are typically available.*

    1. Days
    2. Evenings
    3. Weekends
    4. Weekdays
31. Headshot

    Please upload a photo of you or a headshot.

32. (Optional) Provide a video or portfolio link
34. 
    I agree to the following:
    
    

    By signing below, I understand that if I am selected for projects, I give permission for the use of my image, voice and likeness to be used by the City of Rome and Georgia's Rome Office of Tourism in various media formats for an unlimited amount of time and at no cost to the City of Rome and Georgia's Rome Office of Tourism. I also understand that this is a volunteer role and I will not be compensated. I am willing to volunteer because I want to support the efforts to promote the wonderful town of Rome and Floyd County!

36. Date*
38. Signature*
Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit Submit and Print

* indicates a required field