Wheelie Wars!
Sponsored by Tennessee's
Please take the time to fill out our online application to try for a
spot on the next new
HOT
t.v. reality show pilot!
Section I
:
Personal Information
Nickname:
Name:
Apt #:
Address:
State:
Zip:
City:
Phone:
Work and/or Cell:
Email:
Occupation:
Emergency Contact Name:
Emergency Contact Phone:
Yes
No
Are you will to waive all claims of injury or damage to your person and property?
Yes
No
Are you willing to sign a release for all video, picture, and media rights?
At work?
Yes
No
Are you available for interviews at home?
Yes
No
Are you allergic to any medications?
Yes
No
If so, what are they?
How long have you been riding?
What make and model bike do you ride?
How many bikes do you own?
Yes
No
Do you represent a motorcycle club?
If so, what is it's name?
How many members does it have?
Yes
No
Do you have a video of yourself?
Yes
No
If so, is it available for viewing?
Are you available to perform for several weeks on short notice?
Yes
No
How far are you willing to travel?
Section II
:
Riding Capabilities
Yes
No
Can you ride a wheelie at least 1/4 mile long?
What variations can you ride?
(Check all that apply.)
Sitting in seat
One handed
Over windshield
Sitting on tank
Can Can
Superman
Standing on foot pegs
Standing on back pegs
Standing on seat
Knack Knack
Side Kick
Flamingo
Other:
What is the longest wheelie you have ever rode?
Can you ride endo's and stoppies?
Yes
No
Estimate your longest distance:
What variations can you do?
(Check all that apply.)
Standard "sitting"
No feet
Fender grab
One handed
Over windshield
180 degree
Other:
Yes
No
Can you do a smoke show?
Yes
No
Can you ride while burning out?
If yes, check all that apply.
Donut
One handed
On gas tank
Straight line
Off bike completely
Over windshield
Other:
What other tricks and stunts can you execute?
Section III
:
About You
What would your friends and family say your best personal quality is?
What would they say is your worst?
List three adjectives your friends would use to describe you:
List three adjectives to describe the following people:
Your best friend:
Your wife/husband - girlfriend/boyfriend:
Your mother:
Your father:
Describe your idea of a perfect day:
What is your worst fear?
How good are you at manipulating people on a scale of 1 - 10?
(10 being the best.)
10
9
8
7
6
5
4
3
2
1
Where do you see yourself in 10 years?
10
9
8
7
6
5
4
3
2
1
How good are you at making alliances on a scale of 1 - 10?
(10 being the best)
Yes
No
Do you think you will win this contest?
Other than your riding ability what do you think makes you capable of winning over the crowd?
(
Be as detailed as you like.)
Please date this application as an electronic signature:
Please send a 5 minute video describing yourself and your abilities. Show us your personality
and your attitude. If you do have footage of yourself riding, please include your best 5 minutes.
Send videos to:
Jason@thechromesolutions.com
If you would like to send videos via snail mail, please write Jason at the above address for
further information.