Conception

Have you tried everything you can to have a child?

Has the ‘journey of conception’ turned into the most challenging chapter of your life?

Cornwell Casting has teamed up with a Major Cable Network for a cutting edge new docu-soap. We’re looking for people who have gone through or are currently going through unconventional methods and extraordinary lengths to have a child. From the exciting and hopeful ups, to the discouraging downs, this docu-soap aims to shed light on the extreme measures people will go through to conceive. We’re searching for couples or individuals who have put everything on the line or are on the brink of doing so - for the sake of an addition to their family.

If you have any questions about this application, please email Tina@CornwellCasting.com.

Please record a 1-2 minute telling us about you and why you think you are a good fit for this project. We'd love to know as much as you feel comfortable sharing. *

Full Name *

Phone *

Email *

City *

State *

Occupation

Your DOB *

For verification purposes only pursuant to 18 U.S.C. §§ 2256 et seq

How did you hear about our casting? *

Partner's Name (if applicable)

Partner's Occupation

Relationship Status *

Do you currently have any children?

If yes, what are their ages & genders?

Give us a brief bio about yourself. (Tell us about your immediate family life, hometown, etc.) *

If you are submitting with a partner, tell us a little about your relationship. How did you two meet? How long have you been together?

Where are you currently on your fertility journey? (Starting in vitro, looking for a surrogate, taking a break, etc) *

What have been your struggles thus far when trying to start (or grow) your family? *

What are the extreme lengths, if any, that you have gone through or are currently going through to have a child? *

Do your friends and family know about your struggles? If so, do they support you? *

Please attach a recent photo of you. *

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Please attach another recent photo of you. *

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Please attach a photo of your partner (if applicable).

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By checking here, you are confirming that you agree with the below statement. *

CORNWELL CASTING GENERAL RELEASE I hereby acknowledge that I have read and I meet the eligibility requirements. I hereby certify that all statements made in this application are true and complete. I understand that if any of the disclosures made by me on this application are false, this will be cause for disqualification of my consideration for this production. I further acknowledge and accept that this application form and any other materials (including, but not limited to, photographs, and videotapes) I have submitted or will submit to Cornwell Casting Inc. will become the sole and exclusive property of Cornwell Casting Inc. and will not be returned to me. I understand that as the owners of this material Cornwell Casting Inc. shall have the right to edit, distribute and exploit the material submitted in any manner in their sole discretion, but shall have no obligation to do so. By signing below, I grant to Cornwell Casting Inc. the right to use any biographical information contained in this application, my home video or taped interview, and to record, use, and publicize my home videotape or taped interview, voice, actions, likeness and appearance in any manner in connection with this production. I hereby release and indemnify Cornwell Casting Inc. and all of their respective licensees, assigns, successors, parents, affiliated and subsidiary companies, divisions, and joint ventures as well as their employees, officers, directors and agents (collectively, the “Released Parties”) from any and all claims or demands of every kind that I or any third party may now or hereafter have against the Released Parties in connection with my application to appear in the production and the exploitation of any and all materials I have submitted in connection therewith, or any exercise by any or all of the Released Parties of any of the rights I am granting hereunder, or any other matter contained herein, including, but not limited to, any claims for defamation, violation of rights of privacy and/or publicity, negligence, and/or intentional infliction of emotional distress. In connection with the foregoing releases, I hereby expressly waive any and all rights and benefits conferred by the provisions of Section 1542 of the California Civil Code or by any similar law or provision of any jurisdiction throughout the world. Section 1542 reads as follows: “A GENERAL RELEASE DOES NOT EXTEND TO CLAIMS WHICH THE CREDITOR DOES NOT KNOW OR SUSPECT TO EXIST IN HIS FAVOR AT THE TIME OF EXECUTING THE RELEASE WHICH, IF KNOWN BY HIM, MUST HAVE MATERIALLY AFFECTED HIS SETTLEMENT WITH THE DEBTOR.”