Audition Form | M.O.M. Crew

M.O.M Crew Audition Application

Please complete the form to register for auditions.

First Name

Phone

Last Name

Email Address

Street Address

City

Region/State/Province

Postal / Zip code

Social Media Accounts (Instagram, Facebook, TikTok, X)

Date of Birth

Number of Children, Grandchildren, and/or Great-Children

Occupation

How did you learn about auditions or what year did you make the team?

IF YES, PLEASE EXPLAIN

Have you ever been convicted of a misdemeanor or felony within the past seven (7) years? (Please do not provide information regarding convictions for which the record has been judicially ordered sealed, expunged, or PLEASE DO NOT PROVIDE INFORMATION REGARDING CONVICTIONS FOR WHICstatutorily which eradicated of successfully completedUTORILY WHICH THE RECORD HAS BEEN JUDICIALLY ORDERED SEALED, EXPUNGED OR STATUTORILY ERADICATED OR ANY MISDEMEANOR CONVICTION FOR WHICH PROBATION HAS BEEN SUCCESSFULLY COMPLETED OR OTHERWISE DISCHARGED AND THE CASE HAS BEEN JUDICIALLY DISMISSED. ALSO, PLEASE DO NOT PROVIDE INFORMATION REGARDING CONVICTIONS MORE THAN TWO (2) YEARS OLD FOR ANY MARIJUANA OFFENSE.) OR ARE YOU CURRENTLY BEING INVESTIGATED OR HAVE A PENDING TRIAL FOR A MISDEMEANOR OR FELONY CRIME?

YES

I consent to background screening.

What does M.O.M Crew mean to you, and/or why do you want to be a part of this team?

Liability and Publicity Release: M.O.M Crew tryout (the “Tryout”) being conducted by M.O.M Crew, commencing on Sunday, July 28, 2024 and concluding on Friday, August 2, 2024, at the iDANZ Performing Arts Studio located at 13610 Midway Rd. Ste. 224, Farmers Branch (Dallas), TX 75244. As consideration for the possibility of becoming a member of M.O.M Crew, I hereby acknowledge and agree as follows: 1. I hereby consent to the recording, use and reuse of my name, likeness, voice, personality and image (collectively “Likeness”) by M.O.M Crew or any of their assigns, successors, parent, affiliated and subsidiary companies and their licensees and advertisers (collectively M.O.M Crew), in and in connection with the Tryout and any production, broadcast, distribution, exhibition, advertising, marketing and/or promotion of the Tryout and/or M.O.M Crew, including without limitation, cards, posters, calendars, photographs, video, film, online, or any other form, now known or hereinafter devised. 2. I hereby grant M.O.M Crew the irrevocable and perpetual right to make video and/or sound recordings of me and my appearance in the Tryout, any/all statements, actions made by me, whether written, spoken, or otherwise expressed by me, or information given by me whether in an interview or otherwise (collectively “Performance”), and to use these photographs, films, tapes and video and sound recordings (collectively “Recordings”), as well as my Likeness, in the production, distribution, exhibition, publishing, advertising, promotion, marketing, and publicity for the Tryout throughout the universe, in any and all media, manners and formats, now known or hereafter devised. The Tryout or any part thereof (including without limitation my Likeness and/or Performance) can be edited, cut, added to, adapted, dubbed, modified and/or rearranged at M.O.M Crew sole and absolute discretion. I hereby waive unconditionally and irrevocably the benefit of any provision of law known as “moral rights” or similar laws now or hereafter prevailing in any part of the world. 3. The Recordings and all contents thereof shall be owned entirely by M.O.M Crew, and my contribution to the Recordings is specially ordered by M.O.M Crew as a contribution to an audiovisual work as a work made for hire for M.O.M Crew. M.O.M Crew is not obligated to use my Likeness or Performance in any way whatsoever. 4. I understand and acknowledge that I shall not receive any monetary compensation for my participation in, or otherwise in connection with, the Tryout, or for the exercise of any other rights granted by me herein. 5. I and my representatives, heirs, successors and assigns hereby absolutely, unconditionally and forever release and discharge M.O.M Crew and iDanz Performing Arts Studio, all other persons and entities connected with the Tryout, and each of their respective present, future and former officers, directors, agents, representatives, attorneys, employees, successors, assignees, and licensees, (collectively the “Released Parties”) from any and all claims, actions, causes of action, proceedings, suits, awards, judgments, damages, liabilities, losses, costs and expenses of any kind (including, without limitation, reasonable attorneys’ fees) arising out of, resulting from, or by reason of, the use of my Likeness and Performance and my participation in or in connection with the Tryout (including without limitation personal injury, emotional distress, invasion of rights of privacy and/or publicity, and/or defamation).

Your Signature

Date Signed

M.O.M Crew's mission is to encourage and inspire moms, women, and children to achieve their dreams, improve self-worth, participate in philanthropy, and
instill purpose.

“As sisters, we live and breathe triumph and perseverance. As women, we exude strength and confidence. As mothers, we motivate and inspire. As humans, we all bleed red. Our love comes in many shades.”

-Anonymous

M.O.M Crew Audition Application

Copyright © 2019 M.O.M Crew. All rights reserved. Website born Dec. 2016

M.O.M Crew's mission is to encourage and inspire moms, women, and children to achieve their dreams, improve self-worth, participate in philanthropy, and instill purpose.

“As sisters, we live and breathe triumph and perseverance. As women, we exude strength and confidence. As mothers, we motivate and inspire. As humans, we all bleed red. Our love comes in many shades.” -Anonymous

M.O.M Crew Audition Application

Copyright © 2019 M.O.M Crew. All rights reserved. Website born Dec. 2016

M.O.M Crew's mission is to encourage and inspire moms, women, and children to achieve their dreams, improve self-worth, participate in philanthropy, and
instill purpose.

“As sisters, we live and breathe triumph and perseverance. As women, we exude strength and confidence. As mothers, we motivate and inspire. As humans, we all bleed red. Our love comes in many shades.”

-Anonymous