ATRUSIA ‘IT’S A MOVIE!’

NOMINATE YOUR CANDIDATE™

OFFICIAL ENTRY FORM

    EZ 2 Step Game Play

By entering, Participant agrees to THE OFFICIAL GAME RULES.
(Participant must be 18 Years or Older.)

IMPORTANT GAME NOTE:
ONLY ONE (1) ENTRY PER ATRUSIA CHARACTER FOR THE SAME NOMINEE.

However, from the Ensemble Cast of ATRUSIA You may enter the same Nominee for a different Character Role.

Nomination Form

* indicates required field

Subject:

Date*

First Name:*

Last Name:*

Email:*

Your Phone Number*

Your Resident State/Province

Your Resident Country

Name of ATRUSIA Character*

Your Nominee's First Name*

Your Nominee's Middle Name (if known)

Your Nominee's Last Name*

Check One*

Director
Actor
Actress
Animal

Your Nominee's Acting Experience – List Movie(s), Play(s), TV, ETC. (none required):

Your Relationship To Nominee (if any)

Nominee's Email (if not known leave blank)

Nominee's Contact Phone Number (if known)

Nominee's Address Info (if known)

Nominee's City (if known)

Nominee's State/Province (if known)

Nominee's Country (if known)

Upload Nominee's Picture Here (if known)

Acceptable file types: doc,pdf,txt,gif,jpg,jpeg,png.
Maximum file size: 1mb.

**SPECIAL NOTE: If You are the Game Winner AND You want your Candidate to know, after the final casting selection has been determined, that You nominated him/her for the ATRUSIA MOVIE ROLE, CHECK BOX.

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