David Brotsky

Name: *

First Name

Last Name

Phone:

Country

(###)

###

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Do you have film insurance?: *

Yes

No (If not, you will need it!)

IMPORTANT! *

Please check all that apply:

High profile talent?

Stunts?

Driving Shots?

Intermittent Traffic Control (ITC)?

Reserved Parking Needs?

Minors on Set?

Picture Cars?

Pyrotechnics?

Prop Weapons?

Actors in Law Enforcement Uniforms?

Hazers?

Anything else that could impact the public or property owners in unexpected ways? (If so, we will discuss)