FORM GIF-9578Form Approved for Multiple use GIF-9578 [Rev. January 1, 2019 ]

Stage Name

Mailing Address City State Zip Code

eMail

Name

SECTION 1 TALENT APPLICATION | CALL SHEET

Date

Provide a Vimeo | YouTube | Drop Box | Google Drive | iCloud | Social Media url link where you demonstrate your talent for our Media Producers to review.

Are you affiliated with a Union?

SECTION 2 CHECKLIST

1. Save form to your Computer or Device & Open with Adobe Reader to complete. 2. Complete form email it to us as an Attachment to auditions@gritanium.com 3. Do not email MP3, Music or Video files. We will only review online links. 4. Our Producers will only reach out to those selected to participate.

What is your primary reason for completing this form?

Phone

GRITANIUM LLC ● 131 Sunset Ave Ste E 353 ● Suisun City CA, 94585 ● Office (800) 576-GRIT ●

*** STOP HERE - FOR COMPANY USE ONLY ***

DID APPLICANT PROVIDE WORKING URL LINK?

SCORE

Panel Signature

By checking this box and completing this form, applicant hereby authorizes GRITANIUM LLC, hereinafter “Company”, the right and perpetual use of any content provided by Applicant to Company. Company may utilize content in any manner Company deems fit. Content may include any Footage, Videos, Sounds, or Photos of Applicant. Use of content shall include any subsequent photographic likeness, and/or reproduction thereof. The Company use of content may include Promoting, Advertising Broadcasting on NBC Television network, or any other network Company deems fit, and may include but not be limited to Radio, Internet, Print Ads, CD, DVD, Blu-Ray, or other. Applicant understands that Company has a new Promotional Reality Talent Show called GRITACULAR that our Sponsors will air on NBC. We cast year-round and always welcomes auditions. All talent welcomed.

RECOMENDATIONS

Date