EmailMeForm
CANADA WIDE CASTING FOR LGBTQ SINGLES + YOUR EX
Please fill out the following application form. You will receive further instructions via email so please check your spam/junk folders.
Name
*
First
Last
Ex Partners Name
*
First
Last
Your Email
*
Confirm
Ex's Email
*
Confirm
Phone
*
###
-
###
-
####
Age Range:
*
Please select
18-25
25-35
35-45
45+
City
*
Province
*
How long have hove you been single?
*
What type of relationship are you looking for?
*
Please select
serious relationship
something casual
just dating
What is your ideal relationship?
*
What's the longest relationship you had and when did it end.
*
Is your ex-partner willing to come onto the show? Note: they don’t have to be single (PAYING $500/DAY)
*
yes
no
Union Status:
non union
ACTRA
ACTRA Apprentice
UBCP
UDA
Please note, this is a non-union job.
Agent Name (if applicable)
Agent Email (if applicable)
IMPORTANT: If you have an agent, you must inform them of your application.
They may be required to submit on your behalf.
Please upload a current photo of yourself
*