Representation Form – Coastal Talent Agency

Request for Representation

We will not be accepting Requests for Representation until
July 2026

After July 2026 please complete this form.

First name

Last name

Performance name

Phone

Seeking Representation for...

On-Camera Voiceovers

18 or older or legally emancipated

Yes No

Date of Birth (if under 18 years of age)

Nearest Major City

Union Status

Currently Represented

Yes No

Headshot and Profile Material

Uploads - jpg, pdf, mp3, MP4, mov (8 MB Max size)