Single Men Casting

Welcome to the Single Men Application

Cornwell Casting is in search of single men in the New York City, Charlotte, and Los Angeles area to go on a date with a celebrity! In order to be eligible you:

Must be single
Appear to be between the ages of 35-55
Live in the NYC, Charlotte, Los Angeles area, or be willing to travel there
Be independent, driven, and successful
Be available for a date between now and January

If you have any issues filling out this application, please email Tina@CornwellCasting.com.

STEP 1: GENERAL INFORMATION

Full Name *

Phone *

Email *

City *

State *

Occupation *

Hometown *

Marital Status *

Please list any nicknames or alias names that you go by. If none, please write "None." *

Highest level of education *

If you attended college, please list where & degree earned.

Please list your height:

Please provide us with any social media links. If none, then write "none". *

How did you hear about our casting? (Facebook, Email, etc) *

STEP 2: ABOUT YOU

Give us a brief bio about yourself. (Tell us what is important to you, about your achievements, passions, your family life, hometown, etc.) *

Do you have any children? *

If yes, what are their ages & genders?

Average Yearly Salary

You will need to be available for 1-2 days of filming sometime between now & January. Please list any scheduling conflicts you have (vacations etc). *

Have you ever been arrested for anything that would show up in a background check? *

Do you already have an interview scheduled with us? *

Have you been on any reality shows? If so, please list title and year.

STEP 3: VIDEO SUBMISSION LINK

Please record a 1-2 minute telling us why you would be great for this project. *

STEP 4: PHOTO UPLOAD

Please upload a recent photo of you (no hats or sunglasses please). *

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Please upload another recent photo of you. *

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Please read the release below and check the box to confirm you agree. *

RELEASE This release (“Release”) is made to allow Advanced Medical Productions, Inc., doing business as Figure 8 Films, (“Producer”) to consider the undersigned (“you”) as a potential participant in a television production that tentatively is entitled “Kate Plus Date” (working title) (the "Program") set for initial exhibition on a programming service of a cable network (the “Network”). You are giving this Release in conjunction with the casting application (“Application”) to which this Release is attached and in consideration for Producer’s consideration of you to potentially participate in the Program. You recognize that your signature on this Release is a condition of Producer permitting you potentially to be a participant in the Program. Accordingly, you acknowledge and agree as follows: ELIGIBILITY REQUIREMENTS 1. You must be at least 21 years of age. 2. You must not be a candidate for public office and, if you are selected as a participant for the Program, you must agree not to become a candidate for public office until one year after the initial exhibition of all episodes of the Program in which you appear. 3. You must be a legal resident of the United States. 4. Any offer to become a participant may be conditioned upon your submission to a background check, in accordance with applicable laws. REPRESENTATIONS, WARRANTIES AND RELEASES: 1. You give the following representations, warranties, acknowledgements, consents and releases: (a) By signing below, you represent, warrant, acknowledge and agree that: (i) you have read and you meet and agree to be bound by the eligibility requirements set forth above; (ii) you have completed the Application honestly and accurately; (iii) if any of the information in the Application is found to be false or incomplete, this will be grounds for your removal from the Program participant selection process, or from the Program, if you have been selected; (iv) even if you meet the eligibility requirements, Producer has no obligation to further contact you, to interview you, or select you as a participant; (v) even if you are selected as a participant, Producer has no obligation to produce the Program and Network has no obligation to exhibit it, even if it is produced; (vi) you agree to keep strictly confidential all information about the Program that you may acquire during the participant selection process and during your participation in the Program (if applicable); (vii) all decisions by Producer concerning selection of the participants are final and not subject to challenge or appeal; and (viii) Producer has no obligation to return any materials submitted by you as part of the Application whether or not you are selected as a participant. (b) By submitting this Application, you consent to the recording, use and reuse by Producer, Network and any of the Released Parties (as defined below) of your voice, actions, likeness, name, appearance, biographical material, and any information contained in, derived from or obtained in connection with your application to be a participant in the Program or in any materials submitted by you in connection with the Application (collectively “Likeness”), as edited, altered or modified by Producer or by any of the other Released Parties, in any and all media now known or hereafter devised, worldwide in perpetuity, in or in connection with the Program or any other work. You agree that the Released Parties may use all or any part of your Likeness, and may alter or modify it regardless of whether or not you are recognizable. You further agree that the Released Parties exclusively own all right, title, and interest (including, without limitation, all copyrights) in and to any and all recordings made by them and in and to any and all video that you have provided in connection with the Application (if any) and any other materials that you have provided or may provide in connection with the Application or the Program (collectively, the “Materials”), including, without limitation, the right to edit, alter or modify the Materials and to use all or part of the Materials and your Likeness in any and all media now known or hereafter devised worldwide, in perpetuity. You further agree that Released Parties may use your Likeness and the Materials in connection with any promotion, publicity, marketing or advertisement. You grant the rights hereunder whether or not you are selected to participate in the Program in any manner whatsoever. You understand that you will not be paid any money for giving Released Parties these rights or for submitting this Application. (c) You further grant Producer the right to use and license other to use your Likeness in and in connection with the Materials, whether as part of the Program or otherwise, or in connection with advertising, programming and publicity materials for the Program (including, without limitation, commercial tie-ins) and Producer, the Network and any network authorized to broadcast the Program, any of their respective parent, subsidiary, related entities or affiliates, sponsors of the Program, and for the institutional purposes of Producer and Network and their respective affiliated entities, throughout the world, in any and all media, now known or hereafter devised, in perpetuity. d) You authorize Producer and any person or entity designated by Producer to investigate, access and collect information about you, about any of the statements made by you in the Application, any supporting documents and any other documents that you have signed or provided or do sign or provide in connection with your application to be selected as a participant in the Program, or any other written or oral statements you make in connection with your application to be selected as a participant in the Program to the maximum extent permitted by law. You irrevocably authorize Producer and any person or entity designated by Producer to secure information about you and your experiences from your current and former employers, associates, friends, family members, educational institutions, government agencies any branch of the military, and any references you may have provided, and you irrevocably authorize these parties to provide information concerning you. You unconditionally and irrevocably release and forever discharge each of the Producer, the Released Parties, the persons or entities designated by Producer, and all parties contacted by the Released Parties from any and all liabilities arising out of or in connection with any investigation of you. To the maximum extent permitted by law, you specifically authorize investigation of your employment records and government records, including but not limited to your motor vehicle records, criminal records, civil records, military records and consumer report(s). You acknowledge and agree that any such information obtained by Producer or by any person or entity designated by Producer pursuant to this paragraph or otherwise may be used for purposes of selecting participants in the Program or in the course of producing the Program (including without limitation, providing information to and consulting with Network), and may be described or otherwise related in and in connection with the Program, in and in connection with another program, and in and in connection with any advertising, promotion or publicity for the Program or other program. CONFIDENTIALITY 2. Whether or not you are selected to be a participant in the Program, you shall keep in strictest confidence and shall not, and shall not authorize or cause others to, directly or indirectly, use or disclose to any third party at any time (i.e., prior to, during, or after the taping or exhibition of any episode of the Program) any of the following, which is the exclusive property of Producer or Network: any information or materials that you may read, hear or otherwise acquire or learn in connection with or as a result of your participation in or in connection with the Program, including without limitation, any information or materials concerning or relating to Producer or to Network, the business of Producer or Network, any program produced by Producer or exhibited by Network, including, without limitation, any information concerning or relating to the Program, the Program applicants, the Program participants, the location(s) of the Program, the events contained in the Program, the outcome of any episode of the Program, and the contents of this Application and Release or any other agreement or document that you sign, have signed or receive from Producer or Network at any time (collectively, the “Confidential Information”). You acknowledge and agree that your obligations with respect to confidentiality set forth in this Application and Release shall continue in perpetuity or until terminated by Network by giving you written notice of termination. In no event will you have the right to terminate your confidentiality obligations under this Release. You acknowledge that in the event you breach the confidentiality or any other provisions of this Release, your breach may, in the sole discretion of Producer or Network, result in you being disqualified to participate as a participant in the Program. You further acknowledge that a breach by you of any of the confidentiality provisions in this Release would cause Producer and Network irreparable injury and damage that cannot be reasonably or adequately compensated by damages in an action at law, and, therefore, you expressly agree that Producer and Network shall be entitled to injunctive and other equitable relief to prevent and cure any breach or threatened breach of any of the confidentiality provisions of this Release by you. RELEASE AND AGREEMENT NOT TO SUE 3. The term “Released Parties” shall mean and refer to Producer, Network, any other licensees or assignees of the Program or the Materials, the other participants in the Program, all other persons and entities connected with the Program, all parent, subsidiary, related and affiliated entities, licensees, successors, assigns, sponsors and advertisers of each of the foregoing, all of the respective directors, officers, principals, executives, on-air talent, employees, agents, contractors, partners, shareholders, representatives and members of each of the foregoing, and the respective heirs, next of kin, spouses, guardians, representatives, executors, administrators, successors, licensees and assigns of each of the foregoing. 4. To the maximum extent permitted by law, you irrevocably and unconditionally release each of the Released Parties from any and all liability arising out of your application for and participation in or in connection with the Program, including, without limitation, the recording of your Likeness and the Materials, your participation in the participant selection process, and any exploitation of the Program, your Likeness or the Materials, on any legal theory whatsoever (collectively, the “Released Claims”). The Released Claims shall include but are not limited to those based on negligence, personal injury (including, without limitation, wrongful death and illness), property damage, libel, slander, defamation, invasion of privacy, publicity or personality, infliction of emotional distress, misrepresentation, and infringement of any rights of any third party. Further, to the maximum extent permitted by law, you agree not to sue the Released Parties as a result of the recording or use of your Likeness or the Materials or for any reason based on any of the Released Claims hereunder. You understand and agree that all rights under Section 1542 of the Civil Code of California, as well as any other statute, law, or rule of similar effect of any jurisdiction throughout the world, expressly are waived by you. Section 1542 reads as follows: A GENERAL RELEASE DOES NOT EXTEND TO CLAIMS WHICH THE CREDITOR DOES NOT KNOW OR SUSPECT TO EXIST IN HIS OR HER FAVOR AT THE TIME OF EXECUTING THE RELEASE, WHICH IF KNOWN BY HIM OR HER MUST HAVE MATERIALLY AFFECTED HIS OR HER SETTLEMENT WITH THE DEBTOR. 5. As used in Release, “Producer” shall include Advanced Medical Productions, Inc., doing business as Figure 8 Films, and its licensees, successors, and assigns, and each of their officers, directors, shareholders, employees, agents, and representatives. You agree that Producer may license, assign, and otherwise transfer this Application and Release and all rights granted by you under this Application and Release to any person or entity. 6. This Application and Release shall be interpreted under the internal, substantive laws of the state of North Carolina without regard to the state’s conflicts of law provisions. 7. You agree that any and all claims, disputes or controversies arising out of or in connection with this Application or Release that are not otherwise barred or released pursuant to the terms of this Release shall be resolved exclusively and confidentially by binding arbitration before a single, neutral arbitrator, under the auspices of the Judicial Arbitration and Mediation Service (“JAMS”) using its Streamlined Arbitration Rules and Procedures, through its District of Columbia office. By agreeing to this binding arbitration provision, you acknowledge that you have given up all rights to a trial by jury. 8. You agree that your remedies for any breach of this Release by Producer or others will be limited to monetary damages, if any, and in no event will you be entitled to rescind this Release or the rights granted under it, or to seek or obtain injunctive or any other equitable relief. 9. This Application and Release may be executed by original, facsimile or electronic signature. Any signed copy of this Application and Release delivered by facsimile or electronic transmission shall for all purposes be treated as if it had been delivered containing your original signature, and shall be binding upon you in the same manner as though an original signed copy had been delivered. 10. The illegality, invalidity or unenforceability of any provision of this Application and Release shall in no way affect the validity or enforceability of any of the remainder of this Application and Release, which shall be enforced to the maximum extent permitted by law. You acknowledge that you have read, understand, and agree with the foregoing. YOU UNDERSTAND THAT YOU ARE GIVING UP CERTAIN LEGAL RIGHTS UNDER THIS APPLICATION AND RELEASE, INCLUDING, WITHOUT LIMITATION, YOUR RIGHT TO FILE A LAWSUIT IN COURT WITH RESPECT TO ANY CLAIM ARISING IN CONNECTION WITH THIS APPLICATION AND RELEASE.

Please sign for the Casting Release here. *

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*For verification purposes only pursuant to 18 U.S.C. §§ 2256 et seq.