Our Moment Performer Form

FOR HEALTH AND SAFETY PLEASE TAKE THE TIME TO MAKE SURE
THIS FORM IS CORRECTLY FILLED OUT. THIS IS A LEGAL
DOCUMENT FOR SAFE KEEPING AND EMERGANCIES.

Name
DOB
Addres
s

EMERCANCY CONTACTS
CONTACT 1
NAME
RELATION
PHONE NO
CONTACT 2
NAME
RELATION
PHONE NO
AVAILABILITY
PLEASE STATE ANY DATES YOU KNOW YOU ARE UNAVAILABLE FOR
REHEARSALS/ PRESS INTERVIEWS/ OFFICIAL RECORDINGS OR
SHOOTS

THANK YOU FOR FILLING OUT THIS FORM.

YOUR SIGNATURE ______________________
MANY THANKS

DATE _ _/_ _/_ _ _ _

YOUR SIGNATURE ______________________

MANY THANKS

DATE _ _/_ _/_ _ _ _