Male Talent Application - Vision X Video

APPLICATION FOR NEW MALE TALENT

*=REQUIRED
Real Name: *
(You must provide your real name)

Stage Name:
(The name you want to go by in videos)

Address: *

City: * State: * Zip: *

Home Phone: Cell Phone:
(You must provide at least one contact number)

E-mail:

Age: * Date of Birth: *

Race / Ethnicity:

Height: Weight:

Build: Penis size(in inches while erect):

Drivers License/I.D.#: *

Social Security #: *

If you have any tatoos, tell us what and where:? YES NO

If you have any piercing, tell us where: YES NO

Have you ever performed in an adult video before? YES NO

If yes, how many: Name Titles and Directors:

Why do you want to be in adult videos?

List any special talents that you have:

What all are you willing to do on camera?

Are you

Type in your full legal name here: * Today's date:

All of my answers on this application form are true and correct Yes No

Comments and/or questions:

Please make sure you have fully completed the application form and that everything is correct.
Please click the submit button only once. You will be taken to another page when your form has
been accepted. Please be patient.