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VEGAS OBSESSION REALITY TV SHOW
CONTESTANT ENTRY AND INFORMATION
Contestant Application Form
This application form (the “Form”) is to be
competed in full and as accurately and truthfully as possible.
Please read, understand and answer all
questions carefully, a failure to do so may result in your
Disqualification to become a contestant on
the show.
With this form and those that follow please
send an audition tape to the producers of the show, the
Requirements and expectations of the tape’s
content will be described herein.
Audition Tape Instructions
The audition
tape can contain anything that you believe will
Help the
producers to assess your character. It must be
Submitted
along with the forms in one of the following formats:
Mini DV,
DVD, cd-rom.
The video
should be between 3 and 15 minutes. When taping,
You may
choose to either contain sexual content or not. Make
Sure to present
the real you in the tape and tell us a little bit
About
yourself.
You must
acknowledge in this form that you are of legal age
And that you
agree, acknowledge, consent and forfeit any and
All present
and future rights in the featuring of the audition
Tape being
presented to voting members of the production staff.
If you have
previous tapes in which you want to demonstrate
Your WILD
abilities, you may choose to submit those as well in
The same
formats as described above along with your audition
Tape and note
that you were of legal age when the tape was
Made and
that you have the rights to the material and that you
Agree to let
the producers use the content of the tape online so
That voting
members will vote for you to become a contestant
On the show.
Please note
that any material containing illegal activities will
Be destroyed
and you will be automatically disqualified from
The show.
The
producers verify that any candidates under the age of 21 or
Appearing to
be using falsified identification will be
Immediately
report said violations to the authorities for
Prosecution.
All applicants must be over the age of 21 yr. and have
A valid
state or national ID.
General Information
Please circle the answer that applies to you
or fill in your answer.
Gender: Female Male
Full Legal Name: __________________________
Stage Name (if applicable):
__________________
Age: ______ Date of Birth: ________________
(Must be 21 years or older at the day of
application and at the day of which the audition tape is taped).
Address: ___________________________________________________
City: _______________________ State/Province:
________________
Postal Code: _________________ Country:
_____________________
Citizenship: __________________ SSN/SIN
(other ID#)_________________________
I am able to travel for a period of June 1,
2007 4 - 16 weeks Sun-Wed Groups A B C D Y/N
I am able to travel within the continental USA or Canada for an interview with the
producers on short
Contact Information:
Phone: ( )
Mobile :()
Fax: ( )
E-mail: __________________________________________________
Answer the following questions
1. Are you currently using illegal drugs? Y/N
2. Have you used illegal drugs in the past?
Y/N
3. Do you drink Alcohol? Y/N
4. If you drink, how many drinks per week?
1-5 6-10 11-20 More than 20
5. Have you ever been arrested? Y/N
6. Have you ever been convicted of a criminal
offence? Y/N
7. Have you ever been incarcerated? Y/N
8. Are you married? Y/N
9. Do you have any children? Y/N
10. What is your highest education
achievement? __________________________
11. Are you licensed to operate a motor
vehicle in your State/Country/Province of domicile?
Y/N
12. Have you been tested for any health
problems last 6 months?
Y/N
13. What was the result on your I.Q?
14. Have you been to Vegas?
Y/N
15. If so?
When?
16. Have you ever posed in the nude? Y/N
17. Have you ever participated in any
promotional work?
Y/N
18. Have you ever been involved in a reality TV
show or something similar?
Y/N
19. Have you ever done promotions? Y/N
20. Are you able to operate a computer? Y/N
21. Dancer or Adult star
Provide a detailed:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Please answer the following questions
regarding your motives to be on
The show:
1. What is your motivation for wanting to
participate in the show?
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
2. Have you considered being a Spokes Model
for a Company?
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
3. How do you feel about being watched live
for a period of four days shooting?
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
4. How do you feel about traveling abroad to
participate in the show and be involved networking building a business.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
5. How do you feel about filming a reality TV
SHOW?
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
6. Tell us about your Life.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Personal Information
Height ___ Ft ____ Inches
Weight _____ lbs.
What is the craziest thing you have ever done?
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Do you have any piercing? Y/N
If answered yes, where?
____________________________________________________________
Do you have any tattoos? Y/N
If answered yes, where?
____________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Tell us about yourself
Please describe yourself in your own words
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
You may attach additional pages if required.
Acknowledgements
I, _______________________ (print legal name)
hereby declare and assert that all information provided in
This form or in other mediums to the
producers is accurate and correct.I understand that should I be chosen to
advance to the next round of consideration, I will have theOpportunity to travel to meet with the producers for an
interview. For that interview I will travel at my ownExpense to a location .Unless I am chosen
directly. By the producer.I understand that should the producers and
the voting members of the website choose me to become aParticipant on the show, I will travel at the
producer’s expense abroad to a location that will not beDisclosed and I will become a participant of
Vegas Obsession reality TV show. The producers willCompensate all participants on a weekly basis
in an amount that will be disclosed to allParticipants prior to the beginning of the
show. The pay is flat model day rate. . TheWinner of the show will receive $25,000
cash and the will star in a feature adult video that will beProduced by the site and will become
available to the public. The runner-up will receive a cash prize of$10,000 cash and will participate in the
same video as the winner. The third place finisher will receive cashPrize of $5,000 one-three models winner
contestants would receive one year spokes model contract all models receive
cash prizes& giveawayBy signing this document I assert the
following;
I am 21 years of age or older at the
time of application and the time of which all video material was filmed(Provide proof of age).
I understand that if selected to be on the
show contestant need to book two club tours for forty-eight weeks.
For by the producers.
I am in good physical health.
I am in good mental health.
I am not currently dependant on heavy drugs
and I am not dependant on alcohol.
I am giving the producers permission to use
the material hereby provided by myself (the audition tape andAny other tape or materials submitted) and
upload it to the website at their discretion.If chosen to be on the show, I understand
that I will have to do Promotions & Marketing Host Parties
______________________________ ____________
Signed Date
Please mail this form along with your
audition Vegas ObsessionTape and material to the following
address:
Love Entertainment, Love Productions
1350 E. Flamingo, #353 Las Vegas, NV 89119
Don’t Forget To Send Your Audition Tape!!!
Please note-
Application forms sent without an Audition
Tape will be disqualified. Management
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