Adult Actor Release Form - Esquire Films Version

Esquire Adult Films Limited Adult Entertainment Professional Release Form Revision 7 (01/2009) SECTION A - CONTACT / IDENTITY INFORMATION Actor’s Name

Actor’s Address

Telephone

Fax

Email

Date of Birth

Age Last Birthday

Current Date

Sex

Height

Weight

Colour of eyes

Colour of hair

Colour of skin

Length of penis (men)

Breast size (women)

Shoe size

Esquire Adult Films-Actor release 01/2009

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SECTION B – Adult Actor Suitability Checklist (i) Suitability # 1 2 3 4 5 6 7 8 9 10

Question Are you physically fit? Do you suffer from any disabilities? Do you suffer from any illnesses? Are you taking medication prescribed by a physician or apothecary? Have you ever been sectioned under the mental health act? Have you ever received a diagnosis of mental illness? Are you entering the adult entertainment profession of your own free will? Will you be paid as a result of this work? Are you at liberty to leave the adult entertainment profession at any time? Are you happy to be photographed/videotaped?

YES or NO

(ii) Constraints # 1 2 3 4 5 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z AA AB AC AD

Question Would you perform with members of the opposite sex? Would you perform with members of the same sex? Would you perform with inanimate objects Would you perform with animate objects Would you participate in the following sexual activities? YES / NO AE Group sex Dirty Sanchez AF Anal Sex Dry humping AG Cunnilingus Loose shunting AH Fellatio Deja moo AJ Fisting Mudsharking AK Deep throat Skylarking AL Water sports Bashing The Hoon AM Golden showers Sleeping AN Brown showers Wolfbagging AO April showers Teabagging AP Helicoptering Shrooming AQ Dogging Polishing the dragon AR Dildogging Hiding the meerkat AS Bog-Trotting Riding shotgun AT Pony Play Jacking AU Bondage Phlomping AW Domination Doggy style AX Sado-Masochism Googling AY Tickling Hamstering AZ Transvestism Cleveland steamers BA Hiding-the-sausage Wanking BC Petanque Sponking BD Reverse Polish Notation Bog snorkelling BE Thighjobs Spiderpig BF Scissoring Spoon bending BG Rimjobs Spongmonkey BH Rimshots BadgerBadgerBadger BI Paradiddles Kansas BJ Tribbling (with peanuts) Mathematics BK Tribbling (without peanuts) Tony Blair

Esquire Adult Films-Actor release 01/2009

YES or NO

YES / NO

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(iii) Applicant Statement QUESTION

ANSW ER

1) Why do you want to enter the adult entertainment industry?

2) How long are you expecting to work in the adult entertainment industry?

3) What are your favourite sexual pastimes?

4) What sexual activities will you absolutely not perform?

5) How do you feel when you are engaging in sexual activity?

6) When did you start having sexual activity?

7) How many partners have you engaged in sexual activity with and what have you done? (Answer in detail, use a separate sheet if necessary)

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SECTION C – Declaration I/We declare that the information given on this form is true and correct to the best of my/our knowledge or belief and that I understand that legal penalties may result if any information I have given is materially incorrect, In signing this form I absolve Esquire Adult Films Limited from any and all legal action should injury, trauma (mental or physical), dismemberment, disembowelling, goring, swelling or death result during any performance in discharge of my duties as an adult entertainment professional.

Signed

Print Name

Esquire Adult Films-Actor release 01/2009

Date

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