NAME: _________________________________________________________________

ADDRESS: ______________________________________________________________

CITY: _______________________________________STATE: ______ ZIP: __________

AGE: __________ PHONE: ____________________ CELL: _______________________

WEBPAGE: _____________________________________________________________

EMAIL: ________________________________________________________________

ACTING BACKGROUND: )IF ANY, DOES NOT AFFECT ENTRY: ___________________

_____________________________________________________________________

_____________________________________________________________________

WHY I WOULD MAKE A GOOD SCREAM QUEEN or KING (HORROR HUNK):_________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

Complete this form and mail with current photo. May also include video of you screaming, especially for contestants from out of the Northern California area. All entries will be considered. Mail to:

Scream For Me Contest
George Baker
PO Vox 580450
Modesto, CA 95358