Heart Haven Actor Application
Interested in being in a Heart Haven paid video? Fill this out below and we will put you in our roster!
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Email *
What is your preferred first and last name? *
How old are you? (You must be over 18 to participate - proof may be required) *
What is your gender identity with preferred pronouns? (You may choose not to say, but it will help with scripts that are directed to particular audiences) *
Sexual Orientation? (You may choose not to say, but it will help with scripts that are directed to particular audiences) *
Where are you located? (City, State/Province and Country) [Currently looking for Canada/US participants at this time] *
What roles are you interested in portraying? (please click all that apply) *
Required
What scenarios are you interested in participating in? (click all that apply) [Currently offering these, more may be added later] *
Required
Are you okay with having the doctor/patient being the same sex as you? (Check all that apply) *
Required
Are you comfortable with partial nudity?  Check all that apply. (We are not doing full nudity, sorry!) *
Required
You will be paid in cash only on a video per video basis and receive a free copy of any video you star in. Are you okay with this? If you select no, and wish for commission base, you will be placed in our roster, but may not be called until we can appropriately give you a commission base. *
Are there any underlying medical conditions that we should know about?  If so, please specify what you feel comfortable disclosing. The last thing we want to do is kill you.
Any dietary restrictions? Shoot days are long and we will feed you.
Please provide us with a phone number that we can text and/or an email that we can contact you. *
By selecting the  "I agree", you are providing information that is accurate as of the current moment.  You also agree that Heart Haven has the right to sell the videos, but will always credit you.   You also understand that Heart Haven is starting out, so not to expect too much out of it for a while.   You also have the right to decline any video you do not wish to participate in prior or during filming.   *
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