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CASTING CALL - Extreme Dental Repair Show
This is a quick application for a casting call for those interested in appearing on the show Extreme Dental Repair (working title) for a chance to have the cost of their necessary dental work covered free of charge.
Age 25+
In need of dental work of various sorts
Arizona resident (the show MAY expand, so if you live outside AZ, you can still apply for later)
Willing to appear on screen discussing your dental challenges (footage may or may not be used)
If you think you might be a fit, fill out the form below. This one may take awhile before we contact you, so be patient. We will reach out to you as soon as we can.
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Name
*
Your answer
Email
*
Your answer
City, State, Zip
*
Your answer
Phone #
*
Your answer
Gender
*
Male
Female
Other
Are you active or former US military? (thank you for your service, if so)
*
YES - Active
YES - Former
NO
Age Range you can play on screen (check all that apply)
*
0-18
18-30
30-40
40-50
50-60
60-70
70-80
80+
Required
Tell us more about yourself and anything that might help you being considered for this role...
Your answer
Tell us more about your opinion of the condition of your dental health, and what you are most concerned about?
Your answer
Besides this casting, which types of roles would you consider for future roles? (check all that apply, no wrong answers)
*
Principal Actor - UNPAID
Principal Actor - PAID
Featured Background Actor - UNPAID
Featured Background Actor - PAID
Background Actor - UNPAID
Background Actor - PAID
I would consider paying the film for a Principal, Featured, or Background Actor Role if the right Named Actors (Stars) were involved.
Required
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