REEL CLIENT INTAKE

Please complete this form prior to your Reel Shoot.

PRIMARY CONTACT INFORMATION

For actors under 18, please enter parent or legal guardian contact information.

First name

Last name

Cell Phone

Multi-line address

Country/Region

Address

Address - line 2

City

Zip / Postal code

ACTOR INFORMATION

Actor's Full Name (Legal Name)

We submit reels for IMDb credit to help increase the actor's visibility and professional presence.

I (or, as the parent or legal guardian of the minor listed above) authorize Wallace Network Studios to submit the actor listed above’s name and project details to IMDb for crediting purposes related to the actor’s reel.

Name for IMDb Credit: Please enter the actor's name exactly as it should appear on IMDb (or N/A).

We promote reel content across social media and digital platforms to help the actor gain visibility and be seen by wider audiences.

I (or, as the parent or legal guardian of the minor listed above) authorize Wallace Network Studios to use, edit, and distribute the actor listed above’s name, likeness, and reel footage for promotional and portfolio purposes across social & digital platforms.

Please list Instagram, Facebook, TikTok and/or YouTube handles so we can tag you when your content is shared (optional).