Name *

First Name

Last Name

Phone *

(###)

###

####

Do you own a business?

Yes

No

Filming can take up to 12 weeks to complete. Are you able to commit to the obligation?

Yes

No

During the time of filming you will be required to film once a week whether it's a group setting or personal. Are you willing to commit to this obligation? *

Yes

No

During the time of filming, all recorded footage, phone calls, text messages are all subjected to be used for the use of the project. Will you commit to this obligation? *

Yes

No

Under the penalty of perjury, do you agree to the terms within this contract?

I AGREE

I DISAGREE