Leave this blank PVIFF MONOLOGUE COMPETITIONContestant Information & Profile FormCreating Opportunities. Developing Talent. Celebrating Storytellers.Contestant photos/headshots will only be utilized publicly if the contestant is selected as one of the Top 3 Finalists. All required fields must be completed.1Contestant InformationFull Name *Stage / Professional Name (if different)Age *City & State *Email Address *Phone Number *Instagram HandleTikTok HandleFacebook / Other Social MediaWebsite / IMDb / Professional Profile LinkYou may enter https://, http://, www., or the domain name.2Contestant ProfileProfessional Headshot *Please upload one clear, high-resolution professional headshot. JPG, PNG or WEBP; maximum 8 MB.Short Bio *Please provide a brief biography of approximately 75–150 words.How long have you been acting?What inspired you to become an actor / performer?What would winning the PVIFF Monologue Competition mean to you?3Monologue InformationTitle of Monologue *Character NamePlay, Film, Television Show, or Original Work *Writer / PlaywrightApproximate Length of MonologueMonologue Category / Genre * Drama Comedy Inspirational OriginalIs this an original monologue written by you? * Yes No4ExperienceAre you currently represented by an agent or manager? * Yes NoIf yes, agency / management companyActing Training / School / Coach (optional)Selected Acting Credits (optional)5Get to Know the ContestantArtist Word #1Artist Word #2Artist Word #3What is one interesting or fun fact about you?Who is an actor or actress who inspires you and why?What message would you like to share with people supporting you in the PVIFF Monologue Competition?6Top 3 Finalist Photo & Promotional AuthorizationBy submitting this form, I confirm that the information I have provided is accurate to the best of my knowledge.I understand that my submitted photograph/headshot will not be utilized publicly by PVIFF unless I am selected as one of the Top 3 Finalists in the PVIFF Monologue Competition.If I am selected as a Top 3 Finalist, I grant PVIFF permission to use my submitted name, professional biography, headshot, social media information, competition information, photographs, video footage, interviews, and approved promotional content in connection with the PVIFF Monologue Competition and related PVIFF promotional activities, including the PVIFF website, social media, digital marketing, press materials, event graphics, and event presentations.I understand that submission of this form does not guarantee selection as a finalist or winner of the PVIFF Monologue Competition. YES, I AGREE *Contestant Full Name *Date *For Contestants Under 18Parent / Guardian Name I am the parent/legal guardian of the contestant named above and consent to their participation. I also agree to the Top 3 Finalist photo and promotional authorization if the contestant is selected as a Top 3 Finalist.SUBMIT REGISTRATIONPlease review your information carefully before submitting.
