Docstoc

Family-name

Document Sample
Family-name Powered By Docstoc
					“Wife Swap” Application
Date Submitted: Family Name: His Name & Age: Her Name & Age: Maiden Name: Home Telephone Number: Address (inc. City & State): Email: His Cell: Her Cell: His Work: Her Work: Names and ages of children from this marriage:

Names and ages of stepchildren: (Do they live with you full-time/school year or visitation only)

What is Dad‟s job and work schedule?

What is Mom‟s job and work schedule?

How long have you been together?

1

If married, for how long? Who wears the pants and why?

Do you rent or own your home? Who takes care of the following responsibilities in your family: Childcare?

Shopping?

Cleaning?

Cooking?

Money?

Planning social life? Kid‟s homework?

Do you have any Pets? How many? What Type? Do they have free reign of the house?

What is your daily routine? Are you a scheduled family?

How do you spend your evenings? Weekends?

2

What role does art and culture play in your life i.e. attending museums, the theatre, opera, ballet, etc…

How do you discipline your children? Please give specific details and why this is important to you as a parent?

What rules must your children follow? Are you strict parents? Do your children have strict bedtimes, curfews, censors on TV/music etc.?

What makes your family unique? Why should your family be chosen?

What would your family be able to teach another family?

What would you want to learn from another family?

How would you describe your relationship with your partner?

How would you and your spouse describe your relationship with your kids?

3

If you were not born in the US, how long have you been here and where were you born?

Does religion and alternative lifestyles/practices play a part in your family‟s life? If so how

(Question for Mom and Dad to answer) Most of the time in order to impose positive change toward another family you will have to be judgmental and opinionated. Do you have any problem doing so? Please give a complete explanation.

Are you willing to share your thoughts and feelings and enforce your rules on another family? Why or why not?

Are you both ready willing and able to do the show? Why or why not

Why would you and your family like to participate on Wife Swap?

What is your annual combined salary?

How do you manage the household budget? What best describes your family and why? Big Spenders or Penny Pinchers?

What pushes your buttons? (Both in your family and in general)?

What is your household philosophy?

4

How did you find out about the program? Please list the name of both you and your spouse‟s high schools (Including location and year of graduation). Is there any feuding in your immediate or extended family? If so, please elaborate.

Do you or any members of your family have a physical or mental disability? If yes, please explain:

Have you or any family member been treated for alcohol or drug abuse? If yes, please explain? For how long? When did it end?

Are you or any family member currently or ever been in therapy? If yes, please explain? For how long? When did it end?

Are you or any family members currently taking any medication, prescription or otherwise? If yes, please explain for what and how often:

Have you or any member of your family ever been convicted of a felony? If yes, please give detailed explanation:

Have you or any member of your family ever been in jail for any reason? If yes, please give detailed explain:

5

Have you or any member of your family had a restraining order filed against you or against someone else? If yes, please explain the circumstances and year:

Have you appeared on any other TV shows in the past? If yes, please give show name and date of appearance.

Is this your first time applying for a TV show? If no, please list other shows applied for.

Are you currently being considered for any other TV programs? If yes, please give show name and network.

ABC is always looking for great families. Do you have any friends or family that you think would be great for television?

Name Name Name

Phone Phone Phone

Relationship Relationship Relationship Eligibility Requirements and Releases

The following eligibility requirements must be met in order to proceed with the application process: By answering the questions set forth in your casting application(s) and submitting your video (your “Video”) to RDF MEDIA USA, INC. (“RDF” or “Producer”), you represent, warrant, and agree as follows: 6

You are over 21 years of age. You are a legal U.S. resident. You are not a candidate for public office and agree not to become one until after one (1) year after the initial broadcast of the programs in which you appear, if selected as a participant. Neither you nor any member of your immediate family or anyone living in your household is or has been within the last two (2) years employees, officers, directors or agents or any of the following: (a) The American Broadcasting Company, Inc. (“ABC”), the ABC Television Network (“ABCN”), The Walt Disney Company (“Disney”), RDF or any television station owned and operated by ABC, ABCN, or Disney; or Any person or entity involved in the development, production, distribution or other exploitation of the reality-based program entitled “Wife Swap” (the “Program”) or any variation thereof.

(b)

In addition, Producer reserves the right, to disqualify or render ineligible any person who Producer determines, in its sole discretion, is sufficiently connected with the production, administration, casting, judging, or distribution of the Program such that his or her participation in the Program could create the appearance of impropriety. Such decisions shall be final and are not subject to challenge or appeal. If selected as a participant, you will execute waivers and release agreements required by Producer, including a contestant agreement and release and other agreement(s) as required by the Producer or ABC, or any of their licensees, successors or assigns. You are available to travel to locations as determined by Producer in its sole discretion. You are willing to submit to a background check. You have read all eligibility questions and have answered them completely, honestly and accurately. If any of the information you provide in any application(s) and/or in your video (“Video”) is found to be false or incomplete, RDF shall have the right to: terminate its review of your application and/or dismiss you from the Program participant selection process and/or dismiss you from the Program episode if selected; Even if you meet the eligibility requirements (as determined solely by RDF), RDF will have no obligation to interview you and/or select you as a participant; You shall not be entitled to any compensation whatsoever for completing your application(s), submitting your Video to RDF or for participating in this selection process; RDF may rely upon the information in your application(s) as it relates to the participant selection process and/or the development of the Program; 7

You are in excellent mental and physical health; RDF will have no obligation to use the information in the Video (or any portion thereof), and neither RDF nor any broadcaster will have any obligation to complete, distribute, exhibit or exploit the Program. In no event will you be entitled to enjoin or restrain the development, production, distribution, advertising or exploitation of the Program. All decisions by RDF concerning selection of the participants are final and not subject to challenge or appeal. In addition to your Video, you may be taped, filmed and/or otherwise recorded in connection with the Program „selection process or otherwise, and Producer and its successors, licensees, and assigns shall have the irrevocable, perpetual right to use your name, biographical data, picture and other reproductions of your physical likeness and voice (as the same may appear in any still camera photograph and/or motion picture film or tape (including but not limited to your Video)) including, but not limited to, in and in connection with the exhibition of the Program in all media now known or hereafter devised, worldwide in perpetuity, in or in connection with the Program and the advertising, publicity, marketing, and promotion thereof. You have the right to grant all rights granted in connection herewith without the consent of any third party, and Producer‟s exploitation of such rights and use of any materials submitted by you in connection herewith (including but not limited to this application and your Video) as permitted hereunder will not infringe upon the rights of any third party. RDF has no obligation to return any materials submitted as part of this application, including, without limitation, the Video, whether or not you are selected as a participant. By submitting this application, to the maximum extent permitted by law, I hereby release Producer, ABC, ABCN, Disney, any television station or channel, cable network, or satellite network that airs the Program, the other participants in the Program, the advertisers connected with the Program, each of their respective parent, subsidiary and affiliated companies, all other persons and entities connected with the Program, and each of their respective officers, directors, agents, representatives, employees, successors, assignees, and licensees (herein the "Released Parties") from any and all claims, actions, damages, liabilities, losses, costs and expenses of any kind (including, without limitation, attorneys' fees) arising out of, resulting from, or by reason of, my participation in or in connection with the Program, including, without limitation, my participation in the contestant selection process of the Program, any exploitation of the Program or my appearance on the Program, the failure of Producer to select me as a participant, the cancellation of the Program, or the exercise by Producer of any rights granted by me with respect to the Program on any legal theory whatsoever (including, but not limited to, personal injury, rights of privacy and publicity, false light, or defamation) (the “Released Claims”). The Released Claims specifically include, without limitation, any and all claims, actions, damages, liabilities, losses, costs and expenses of any kind resulting from the actions of another participant or any other third party at 8

any time, but shall not include claims with respect to my rights pursuant to applicable workers‟ compensation laws. I authorize Producer to investigate, access and collect information about me, about any of the statements made by me in my application, any supporting documents and any other document that I have signed or do sign in connection with my application to be selected as a contestant in the Program, or any other written or oral statements I make in connection therewith, and agree to supply Producer any additional information required to conduct such investigations. I irrevocably authorize Producer to secure information about my experiences from my current and former employers, associates, friends, family members, educational institutions, government agencies, credit reporting agencies, and any references I have provided, and I irrevocably authorize such parties to provide information concerning me. I hereby unconditionally and irrevocably release and forever discharge all such parties and persons from any and all liabilities arising out of or in connection with any such investigation. I have read, understand, and agree with the foregoing. Signature______________________________________ DATE: Name (Please print or type)___________________________________________

IF YOUR FAMILY IS APPLYING FOR WIFE SWAP, THEN YOU MUST READ THIS AND SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE READ IT: YOU MUST SUBMIT TO EXTENSIVE BACKGROUND CHECKS, INCLUDING CRIMINAL, MEDICAL AND PSYCHOLOGICAL SCREENING AS WELL AS DRUG TESTING. THE EXTENSIVE CRIMINAL BACKGROUND CHECK IS INTENDED TO TURN UP ANY CRIMINAL ACTIVITY IN YOUR PAST FOR WHICH YOU MAY HAVE BEEN BROUGHT UP ON CHARGES. SO AS NOT TO WASTE OUR TIME AND YOURS, YOU MUST FULLY DISCLOSE TO US ON THIS APPLICATION ANY LEGAL/CRIMINAL ISSUES YOU HAVE HAD IN YOUR PAST, SO THAT WE CAN ADDRESS THE ISSUES ACCORDINGLY. EVEN IF THE CHARGES WERE DROPPED, WE MOST LIKELY WILL RECEIVE INFORMATION ABOUT THEM. JUST BECAUSE YOU HAD A PROBLEM IN THE PAST DOES NOT NECESSARILY MEAN THAT YOU WILL BE AUTOMATICALLY DISQUALIFIED FROM PARTICIPATING IN THE SHOW. HOWEVER, IF THERE IS NOT PRIOR FULL DISCLOSURE ON THIS FORM AND THE BACKGROUND CHECK DOES UNCOVER ANY INFORMATION THAT YOU DID NOT DISCLOSE TO US IN ADVANCE YOU THEN WILL BE SUBJECT TO AUTOMATIC DISQUALIFICATION FROM PARTICIPATING IN THE SHOW. I HAVE READ AND UNDERSTAND THE ABOVE INFORMATION.

9

___________________________ PARENT #1

__________________________ PARENT #2

Here’s what we need: A current photo of you, your family and your house A completed application

TO APPLY VIA E-MAIL: Save the above completed form and e-mail it with your photos (.jpg or .gif) to families@rdfusa.com TO APPLY BY MAIL: Print the above completed application and send it with your photos to: “ Wife Swap” Applications RDF Media PO Box 1879 New York, NY 10116 * Photos and/or VHS / DV tapes will not be returned If you are selected to advance in the application process, we will contact you

10


				
DOCUMENT INFO
Shared By:
Tags: Famil, y-nam
Stats:
views:29
posted:11/27/2009
language:English
pages:10
Description: Family-name