MEMPHIS STAR (working title) - MAJOR CABLE NETWORK APPLICATION



  1. Applicant's first name
  2. Applicant's last name
  3. If applicant is a minor, parent/guardian must complete. Enter "N/A" if not applicable
  4. If applicant is a minor, parent/guardian must complete. Enter "N/A" if not applicable.
  5. How would applicant(s) like to be referred to on the show?
  6. If applicant is a minor, parent/guardian must enter parent/guardian's information only. If you live outside the country, please include the country code.
  7. If applicant is a minor, parent/guardian must enter parent/guardian's information only.
  8. If applying on behalf of a minor, answer for the applicant.
  9. What does the applicant do for a living? If in school, please provide grade and school applicant is attending
  10. If applying on behalf of a minor, answer for the applicant.

  11. What was your childhood like? Do you have siblings? Who do you live with now? How did you get into stand-up, sketch and/or variety comedy? *If applying on behalf of a minor, answer for the applicant.
  12. If applying on behalf of a minor, answer for the applicant.
  13. If applying on behalf of a minor, answer for the applicant.
  14. If applying on behalf of a minor, answer for the applicant.
  15. If applying on behalf of a minor, answer for the applicant.
  16. If applying on behalf of a minor, answer for the applicant.
  17. If applying on behalf of a minor, answer for the applicant.
  18. If applying on behalf of a minor, answer for the applicant.
  19. If applying on behalf of a minor, answer for the applicant.
  20. If so, what group? How long ago? What was your role (i.e. lead, backup etc.)? If applying on behalf of a minor, answer for the applicant.
  21. Country, R & B, Pop etc. If applying on behalf of a minor, answer for the applicant.
  22. Hip Hop, Jazz, Ballet, Tap, etc. If applying on behalf of a minor, answer for the applicant.
  23. If applying on behalf of a minor, answer for the applicant.
  24. If applying on behalf of a minor, answer for the applicant.
  25. Please list approximate air date, network/platform and role. *If applying on behalf of a minor, answer for the applicant.
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    Valid file types: rtf, pdf, txt, doc, docx, jpg, jpeg, png, gif or tif *If applying on behalf of a minor, answer for the applicant.
  27. If applying on behalf of a minor, answer for the applicant.
  28. If applying on behalf of a minor, answer for the applicant.

  29. If applying on behalf of a minor, answer for the applicant.
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  33. Please make sure the video/audio is clear. If you are recording off of a phone, please make sure you hold camera HORIZONTALLY, NOT VERTICAL. If using an instrument: it shouldn't be louder than your voice - If someone else is playing the instrument, they should be off camera - Backing tracks will be played on a separate device - Videos will be filmed in a quiet, well-lit area with a distraction free background - Light should be in FRONT of you, not beside or behind you. - DO NOT film in places that create an "echo." (bathrooms / stair wells etc.)
  34. This can be a dance or singing and dance combo
  35. This can be a dance or singing and dance combo

  36. If applying on behalf of a minor, answer for the applicant.

  37. Please check the box above to indicate your acknowledgment of and consent to these terms. If you are a parent applying on behalf of a minor, checking the box indicates your acknowledgment and consent to these terms as well as your child’s acknowledgment of and consent to these terms. * ***PLEASE PRINT, SIGN AND GIVE A COPY OF THE RELEASE TO YOUR PRODUCER***
  38. Must read. By checking this box you agree to the above terms.
  39. Use your mouse or finger to sign above
    I have read, understand, and agree with the foregoing. I UNDERSTAND THAT I AM GIVING UP CERTAIN LEGAL RIGHTS UNDER THIS APPLICATION, INCLUDING, WITHOUT LIMITATION, MY RIGHT TO FILE A LAWSUIT IN COURT WITH RESPECT TO ANY CLAIM ARISING IN CONNECTION WITH THIS APPLICATION. IF I AM A PARENT OR GUARDIAN APPLYING ON BEHALF OF A MINOR, I ACKNOWLEDGE THE FOREGOING WITH RESPECT TO THE MINOR AND TO MYSELF. *
  40. *FOR VERIFICATION PURPOSES PURSUANT TO 18 U.S.C. 2256 et seq.

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