THE AMAZING RACE 14

APPLICATION FORM
EACH MEMBER OF YOUR TEAM SHOULD COMPLETE A SEPARATE APPLICATION FORM.
BOTH APPLICATIONS SHOULD BE SUBMITTED TOGETHER, ALONG WITH ONE VIDEOTAPE
FOR THE WHOLE TEAM. PLEASE REVIEW THE APPLICATION PROCEDURE AND ELIGIBILITY
REQUIREMENTS CAREFULLY BEFORE SUBMITTING YOUR APPLICATIONS. PLEASE RESPOND
COMPLETELY AND HONESTLY.

CITY #:_________________ RELATIONSHIP TO TEAMMATE: ____________________

HOW LONG HAVE YOU KNOWN EACH OTHER? ____________________

1) YOUR PERSONAL INFORMATION

First Name: __________________________
Last Name: __________________________
Nickname (if any): ____________________
Street Address: ________________________
City: ________________________________
State: _______________________________
Zip: ________________________________
Phone Number (cell): __________________
(home): __________________
(work) : __________________
Fax Number: ____________________________
E-Mail: ________________________________
Gender (please circle): M / F
Age: __________________________________

Ethnicity _______________________________
Height:_________________________________
Date of Birth: ___________________________
Social Security #: ________________________
What is your current occupation? Please describe in 2 words.
________________________________________________________________________
In two sentences, please describe what you do.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
How will these skills help you to win the Race?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
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Please list your prior occupations.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Marital Status / Significant Other (check as applicable):
Single (with no significant other) _________
Boyfriend______ Name____________________ Dating how long? ________
Girlfriend______ Name____________________ Dating how long? ________
Engaged? ______ Name ___________________ Engaged how long? ______
Live together? ______ Name _______________ Live together how long? ____
Married________ Name ____________________ Married how long? _______
Divorced_______ How many times? __________
Widowed_______

Do you have any children? Please list their names and ages:
Name: Age:
____________________ _____
____________________ _____
____________________ _____

Are you licensed to drive a car? Yes / No

Can you drive a car with: (a) ___ manual transmission; (b) ___ automatic transmission
(check all that apply)
What is the airport closest to your home?

2) TEAMMATE INFORMATION
Teammate's First Name: ____________________
Teammate's Last Name: ____________________
How long have you and your teammate known each other?
________________________________________________________________________
How did you meet?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

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What do you hope to gain from participating in The Amazing Race with your partner
(besides winning)?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

What communication issues do you have with your partner that you would want to
address while on the Race?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
What is the biggest disappointment you have experienced from your teammate?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
How did you resolve it?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
What famous person reminds you of yourself?
________________________________________________________________________
What famous person reminds you of your teammate?
________________________________________________________________________
What type of activities do you like to do with your teammate?
________________________________________________________________________
________________________________________________________________________
What is your biggest pet peeve about your partner?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

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What time(s) together with your teammate are/have been the most memorable? Why?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
What is the worst experience you have had with your teammate? Why?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
How are you and your teammate most alike?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
How are you and your teammate most different?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
How could the Race change the current state of your relationship?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
3) OTHER INFORMATION
Not including your current place of residence, in which other cities and/or countries have
you lived and for what period of time?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
What most scares you about traveling?
________________________________________________________________________

________________________________________________________________________

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What most excites you about traveling?
________________________________________________________________________
________________________________________________________________________
What is your opinion of foreigners?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
What was the last vacation that you took?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Are there any locations in the world to which you absolutely will not travel? If so,
identify where and explain why.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Have you ever traveled outside of the U.S.? If so, to where?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Do you speak or read any foreign languages? If so, which one(s)?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
What country and place would you most like to visit and why?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

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What part of the world is the least interesting to you and why?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Do you get sea, air or car sick? If yes, please state which.
________________________________________________________________________
What is your level of education and what school(s) did you attend?
________________________________________________________________________
________________________________________________________________________
Name three of your favorite hobbies.
1. ______________________________________________________________________

2. ______________________________________________________________________

3. ______________________________________________________________________

If given the choice, would you rather compete with 10 other people for $1,000,000 or
split the million and give everyone $100,000 each? Why?

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

Do you have any phobias?

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Have you been treated for or experienced any physical or mental illness(es) within the
last ten years? YES / NO
If Yes, please describe in detail, citing dates, diagnosis and any on-going problems:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

Are you currently taking any medications? If yes, which ones, and why are you taking
them?
________________________________________________________________________
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________________________________________________________________________
Please list any allergies you have (medications, food, hay fever, dust, etc.) and your
current treatment for them:
________________________________________________________________________
Have you ever been arrested? If so, describe when you were arrested, the circumstances,
charge(s), and whether or not you were convicted. If you were convicted, describe the
penalties imposed.
________________________________________________________________________
________________________________________________________________________
Are there any outstanding warrants for your arrest? If so, please explain the
circumstances.
________________________________________________________________________
________________________________________________________________________
Have you ever been subject to any non-judicial disciplinary or administrative hearings or
tribunal(s)? If so, explain the circumstances and the outcomes of such hearing(s) or
tribunal(s).
________________________________________________________________________
List the three adjectives that best describe you:
1. ______________________________________________________________________

2. ______________________________________________________________________

3. ______________________________________________________________________

What is the accomplishment that you are most proud of?

________________________________________________________________________
________________________________________________________________________
Have you ever been on television before? If so, when and what shows?
________________________________________________________________________
________________________________________________________________________
Have you ever appeared in a publicly released film or video of any sort? If so, when and
what film(s) or video(s)?
________________________________________________________________________
________________________________________________________________________

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What is your favorite TV Show?
________________________________________________________________________
What is your favorite movie?
________________________________________________________________________
What is your favorite music to listen to?
________________________________________________________________________
Describe your perfect day:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
What is/was the most exciting moment of your life?
________________________________________________________________________
________________________________________________________________________
Do you belong to any affiliations or organizations?
________________________________________________________________________
Please list all/any other reality shows you have applied for, and how far you made it.
SHOW NAME WERE YOU INTERVIEWED? CASTING FINALS? ON THE SHOW?

Have you ever been on a reality or dating show? If so, please name the show, the length
of time you appeared on the show, and when it aired.
________________________________________________________________________
________________________________________________________________________
Do you have any pre-existing contracts that may affect your ability to participate in
Race? If so, please explain. This includes your ability to grant the rights required by
Producers.

________________________________________________________________________
________________________________________________________________________
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What is your swimming ability?

Excellent

Medium

I can take lessons.

How do you blow off steam?

________________________________________________________________________
________________________________________________________________________
What sports, hobbies or special skills do you have?
________________________________________________________________________
________________________________________________________________________
How much of THE AMAZING RACE have you seen?

None _____

A few episodes here and there ____

A full season ____

I’ve never missed an episode. ______

Other – please explain. ______

If you’ve seen the show, who among past racers would you most pattern your game after?
Why?
________________________________________________________________________
________________________________________________________________________

Do you know any reality show contestants? Who and from what show? Any past RACE
contestants?
________________________________________________________________________
________________________________________________________________________
Do you know anybody involved in the production of THE AMAZING RACE?
________________________________________________________________________
________________________________________________________________________
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What is your primary motivation for being on THE AMAZING RACE? What is your
secondary motivation for being on the show?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

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 RELEASE AND WAIVER

PLEASE READ, SIGN AND DATE THE FOLLOWING:

I hereby acknowledge that: (i) I have read and understand, and I meet and agree to be
bound by, the eligibility requirements for THE AMAZING RACE (the “Program”); (ii) I
have answered (and will answer) all questions posed to me as part of the application
process honestly, accurately and to the best of my ability and knowledge; (iii) if any of
the information that I provide to the Producers is found to be false, this will be grounds
for my dismissal from the Program application process, and/or from the Program itself
even if I am ultimately selected as a participant; (iv) even if I meet the eligibility
requirements, the Producers have no obligation to interview me and/or select me as a
participant; (v) even if I am selected as a participant, the Producers have no obligation to
produce the program and CBS has no obligation to broadcast it, even if it is produced;
(vi) in the event the Program is canceled or not broadcast for any reason, the Producers
and/or CBS or other broadcasting television network will have no obligation to award
any prize money; (vii) all decisions by the Producers concerning selection of participants
and other matters is final and not subject to challenge or appeal; and (viii) the Producers
own, and are not obligated to return or maintain (and may destroy), any materials
submitted as part of my application (including, but not limited to, videotapes and
photographs) whether or not I am selected as a participant. For purposes of this release,
the “Producers” shall mean Worldrace Productions, Inc. and Jerry Bruckheimer Films,
Inc., including each of their respective parents, licensees, assigns, subsidiary and
affiliated companies, successors and assigns and their respective directors, officers,
agents and employees.

By submitting this application, I hereby consent to the recording, and use and reuse by
the Producers, Touchstone Television Productions, LLC, Amazing Race Productions Inc.
and CBS Broadcasting Inc. and any of their respective licensees, assigns, parents,
subsidiaries, divisions, business units, or affiliated entities and each of their respective
employees, agents, officers and directors (collectively “Releasees”) of my voice, actions,
likeness, name, appearance and biographical material (collectively “Likeness”) in any
and all media now known or hereafter devised, worldwide, in perpetuity, in any and all
versions now known or hereafter devised (including digitized versions) in, or in
connection with, the Program. I agree that Releasees may use all or any part of my
Likeness, and may alter or modify it, regardless of whether or not I am recognizable. I
further agree that Releasees exclusively own all right, title, and interest in and to any
application materials (e.g., the video, any photos, etc.) that I have provided in connection
with my application for or participation in the Program and any photos and video or
recordings of any kind that the Producers may make of me in connection with the
Program and my application therefor (collectively, the “Material” or “Materials”) and all
rights therein and thereto including, without limitation, the right to use and exploit the
Material and my Likeness in any and all media now known or hereafter devised,
worldwide, in perpetuity, in any and all versions now known or hereafter devised
(including digitized versions). Without limiting the foregoing in any way, I further agree
that Releasees may use my Likeness and the Material in connection with any promotion,
publicity, marketing or advertisement for the Program in any manner whatsoever.
Without limiting the foregoing grant of rights in any way, to the degree that the Materials
include any pre-existing musical or literary compositions in which I (partially or wholly)
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own the copyright or any publishing rights, or to which I purport to (partially or wholly)
own such copyright or publishing rights, I hereby grant to the Producers, and have the
complete, unfettered right to grant to the Producers, an irrevocable, unlimited, perpetual,
worldwide, royalty and payment-free license to use and reproduce such Materials in the
Program and in connection with any promotion, publicity, marketing or advertisement for
the Program or any exploitation of the Program, in whole or in part, of any kind, in any
and all media now known or which may exist in the future. I understand that the
Producers make no representation whether or not such Materials will be used in any
manner whatsoever. I irrevocably and absolutely grant the rights hereunder whether or
not I am selected to participate in the Program. I release Releasees from any and all
liability arising out of their use of my Likeness and/or the Material (including, without
limitation, any claim that such use invades any right of privacy and/or publicity and any
claims based on defamation or libel or false light), and I represent and warrant that I have
the right to grant the rights conveyed hereunder. I understand that the Producers make no
representation that the Materials will or will not be used in any way.

ENTIRE AGREEMENT
This release expresses the entire understanding between the Producers and me and
replaces any and all former and contemporaneous agreements, understandings or
representations between Producers and me. No modification, alteration or amendment of
this agreement will be valid or binding unless in writing and signed by both me and the
Producers.

CHOICE OF LAW
This release shall be deemed to be entered into in Los Angeles County, California, and
shall be governed by and interpreted in accordance with the laws of the State of
California applicable to documents or agreements executed and fully carried out within
California. Any action, proceeding or litigation concerning this release or my appearance
or participation in the Program may only be brought in Los Angeles County, California,
and I hereby agree that the courts of Los Angeles County, California, shall have exclusive
jurisdiction over me and the subject matter of any such proceeding.

RESOLUTION OF DISPUTES/BINDING ARBITRATION

THE PARTIES HERETO AGREE THAT ANY AND ALL DISPUTES OR
CONTROVERSIES (REGARDLESS, BY WAY OF EXAMPLE ONLY,
WHETHER SUCH DISPUTES OR CONTROVERSIES ARE BETWEEN
PRODUCERS AND/OR ANY OF THE OTHER RELEASEES, ON THE ONE
HAND, AND ME, ON THE OTHER HAND; BETWEEN ANOTHER
PARTICIPANT AND ME; OR BETWEEN ME AND THE PROGRAM HOST)
ARISING UNDER THIS AGREEMENT OR ANY OF ITS TERMS, ANY EFFORT
BY ANY PARTY TO ENFORCE, INTERPRET, CONSTRUE, RESCIND,
TERMINATE OR ANNUL THIS AGREEMENT, OR ANY PROVISION
THEREOF, AND ANY AND ALL DISPUTES OR CONTROVERSIES
RELATING TO MY APPEARANCE OR PARTICIPATION IN THE PROGRAM,
SHALL BE RESOLVED BY BINDING ARBITRATION IN ACCORDANCE
WITH THE FOLLOWING PROCEDURE: EITHER (I) PRODUCERS AND/OR
CBS, ON THE ONE HAND, AND I, ON THE OTHER HAND, SHALL
MUTUALLY SELECT AN ARBITRATOR, WHO SHALL BE A RETIRED
JUDGE OF A STATE OR FEDERAL COURT OR (II) IF WE CANNOT AGREE
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ON SUCH ARBITRATOR, PRODUCERS AND/OR CBS ON THE ONE HAND,
AND I, ON THE OTHER HAND, SHALL EACH SELECT ONE ARBITRATOR,
WHO SHALL BOTH BE RETIRED JUDGES OF STATE OR FEDERAL
COURTS AND THOSE TWO ARBITRATORS SHALL THEN SELECT A THIRD
ARBITRATOR, WHO SHALL BE A RETIRED JUDGE OF A STATE OR
FEDERAL COURT. ALL ARBITRATION PROCEEDINGS SHALL BE
CONDUCTED UNDER THE AUSPICES OF THE AMERICAN ARBITRATION
ASSOCIATION, UNDER ITS COMMERCIAL ARBITRATION RULES,
THROUGH ITS LOS ANGELES, CALIFORNIA OFFICE. THE PARTIES
HERETO AGREE THAT THE ARBITRATOR’S RULING, OR ARBITRATORS’
RULING, AS APPLICABLE, IN THE ARBITRATION SHALL BE FINAL AND
BINDING AND NOT SUBJECT TO APPEAL OR CHALLENGE. THE PARTIES
HERETO FURTHER AGREE THAT THE ARBITRATION PROCEEDINGS,
TESTIMONY, DISCOVERY AND DOCUMENTS FILED IN THE COURSE OF
SUCH PROCEEDINGS, INCLUDING THE FACT THAT THE ARBITRATION
IS BEING CONDUCTED, WILL BE TREATED AS CONFIDENTIAL AND WILL
NOT BE DISCLOSED TO ANY THIRD PARTY TO SUCH PROCEEDINGS,
EXCEPT THE ARBITRATOR(S) AND THEIR STAFF, THE PARTIES’
ATTORNEYS AND THEIR STAFF, AND ANY EXPERTS RETAINED BY THE
PARTIES. NOTWITHSTANDING THE FOREGOING, NOTHING IN THIS
PARAGRAPH OR IN ANY OF THE APPLICABLE RULES OF THE
AMERICAN ARBITRATION ASSOCIATION SHALL PREVENT PRODUCERS,
CBS OR ANY OTHER RELEASEES FROM SEEKING PROVISIONAL RELIEF
OUTSIDE OF ARBITRATION, INCLUDING BUT NOT LIMITED TO
EQUITABLE AND/OR INJUNCTIVE RELIEF, PENDING THE ARBITRATOR’S
FINAL DECISION.

MISCELLANEOUS
Without limiting the foregoing, any provision of this release that is invalid, illegal, or
unenforceable in any jurisdiction will, as to that jurisdiction, be ineffective only to the
extent of such invalidity, illegality or unenforceability, without affecting in any way the
remaining provisions hereof in such jurisdiction or rendering that or any other provision
of this release invalid, illegal or unenforceable in any other jurisdiction. No waiver by
the Producers of any term or condition of this release will be construed as a waiver by the
Producers of any other term or condition; nor will any waiver by the Producers of any
default under this release be construed as a waiver by the Producers of any other default.
It is further understood and agreed that no failure or delay in exercising any right, power
or privilege hereunder shall operate as a waiver thereof, nor shall any single or partial
exercise thereof preclude any other or further exercise thereof or the exercise of any right,
power or privilege hereunder. The Producers may freely assign, in whole or in part, any
of their rights or obligations under this release. I may not assign my rights and
obligations under this release.

I have signed this Application and Release and Waiver on the _______ day of
________________, 200_.

Signature: ______________________________

Print Name: _____________________________

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