CASTING CALL APPLICATION

APPLY NOW TO COMPETE FOR $1,000,000 PURSE BOTH MALE AND FEMALE

Support Form (#3)

First Name

Middle Name

Last Name

Suffix

DATE OF BIRTH

FULL LEGAL NAME *

Birthplace

Country

Sex

Male

Female

Height (Foot/Inches)

Weight (Lbs)

Hair Color

Eye Color

Primary Physical Address (Principal Residence)

Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

ADDITIONAL PERSONAL INFORMATION

CITY, STATE, ZIP CODE

Are you a United States citizen? (YES/NO)

Are you 18 years or older? (YES/NO)

Media

What television experience/appearances have you made?

Provide links for your Social Media accounts below

Facebook

Instagram

Twitter

Youtube

Tiktok

How many Social Media followers do you have?

PROFESSIONAL RECORD CAREER SUMMARY (AMATEUR, PROFESSIONAL, MMA)

Fights Wins/ Loses

Fights By Knockout

Fights By Decision

Fights by Draws

Fights No Contest

REACH

WEIGHT DIVISION

STANCE

"CELEBRITY" MAKING OF A CHAMPION REALITY SHOW

1. TELL US WHY YOU WOULD LIKE TO BECOME A CMOAC BOXING CAST MEMBER

2. BACK STORY (TELL US ABOUT YOURSELF)

3. How did you hear about (CMOAC) casting calls?

4. SAG - AFTRA Member?

Yes

OFFICE USE ONLY Date Received

Docs/Notes