Please fill out this form to let SAG-AFTRA know that you are represented by us, and any other representation.

Please fill out this form to confirm your representation with SAG-AFTRA.

This Contract has been provided to you for your reference in signing the One Page Contract. ONLY fill out this form if actor is a Minor.

SAG-AFTRA requires original signatures, no copies or scanned files. Please print, fill out and send the original directly to the agency.

Agency Name: Mitchell and Associates Talent

Agency ID#: 155922