Do

YOU want to be on TV?!

FORT BOYARD ULTIMATE CHALLENGE is back! Foundation TV is producing a fourth series of the exciting, action-based TV game show Fort Boyard. The show is filmed in the legendary fortress off the French coast are you brave enough to take on the challenges of The Fort? Are you 12-18 years old? Are you sporty? Are you fearless? Do you like a challenge? Fort Boyard needs adventurous teenagers to take on some incredible and exciting challenges!

If you think youve got what it takes to be part of this thrilling game show, please ask your parents permission to email fortboyard@foundationtv.co.uk ASAP for an application form. Filming takes place in France between 18 25 June 2013. Closing date for applications is 20th May. ITV Programme Recruitment Terms and Conditions apply See http://www.itv.com/termsconditions/itvprogrammerecruitmentterms/ for details. UK, Channel Islands and Isle of Man residents only For more information about Foundation TV, check out www.foundationtv.co.uk

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APPLICATION FORM
FORT BOYARD: ULTIMATE CHALLENGE is back for a fourth series! If you are between 12- 18 years old and would like to be considered for the new series then please complete the application and return to us before the closing date! Closing date for applications is 20th May 2013. If you havent heard back by 17th JUNE 2013 then unfortunately, your application has been unsuccessful. Please read the ITV Programme Recruitment Terms and Conditions at itv.com/terms which apply to your application at http://www.itv.com/termsconditions/itvprogrammerecruitmentterms Get Permission if youre under 18 Make sure you have permission from your parent/legal guardian before sending us your application form. Your parent/legal guardian MUST sign your completed application form or it will not be considered The series will be recorded off the coast of France between 18th June - 25th June 2013 so you must be available for that period and be happy to be away from home, without your parents for a week and your parent/legal guardian must have consented to you doing so. (All children who are 16 years and under will be looked after and accompanied by a professional licensed chaperone during their participation in the programme and whilst abroad) NB: Filming is during term time and we will require permission from your childs school in order for your child to take part. Send us your completed application form: What happens next? Only those people who go through to the next stage will be contacted

We will choose a shortlist of contestants based on the application forms Your parent/legal guardian will be contacted by phone and we will ask to conduct a phone audition with you Following a telephone audition we will select a number of children to attend an audition in a UK adventure park before the final selection takes place. Attending an audition does not guarantee a place on Fort Boyard: Ultimate Challenge. We get hundreds of applications so please dont be disappointed if we dont contact you this time. Thank you and good luck!!!!

To the Parent or Guardian of those applying to take part in Fort Boyard: Ultimate Challenge who are UNDER 18: Your child would like to apply to be a contestant on Fort Boyard: Ultimate Challenge. This show is made by Foundation TV/ Zodiak Media for CITV and will be aired on CITV. THIS SHOW WILL BE FILMED ABROAD DURING - JUNE 2013 AND YOU MUST CONSENT TO YOUR CHILD BEING AWAY FROM HOME WITHOUT YOU ABROAD FOR UP TO A WEEK. PLEASE NOTE: All children who are 16 years and under will be looked after and accompanied by a professional licensed chaperone during their participation in the programme and whilst abroad. We will only contact applicants who have gone through to the second stage of the audition process. The information that is sent in this application form is collected by Foundation TV/ Zodiak Media producers and may be used for the purposes of administering your application to participate in Fort Boyard and for the purpose of producing the show. Information will not be used for any other purpose. We do ask for personal details like home address and telephone number, so that we can contact you if we want to take the application further. If we do, we will be in contact with you to request to speak to your child/children. Your details will not be stored in a database and all applications are destroyed once we have dealt with them. This information will only be used by Foundation TV/ Zodiak Media and we will not pass your personal details on to anyone else. Foundation TV/ Zodiak Media has a Child Protection Policy, if you would like to see a copy, please state on the form below. As the parent or guardian of the child please read their completed application form and consent to your child entering this application by signing the consent form on the next page. WITHOUT THIS CONSENT WE WILL BE UNABLE TO TAKE THE APPLICATION ANY FURTHER.

PARENTAL CONSENT FORM To be completed by the parent/guardian of those applying to take part in Fort Boyard: Will you allow your child to live away from home in France without you, for 1 week? YES [ ] NO [ ] Have you and your child made any holiday plans for JUNE 2013? YES [ ] NO [ ] IF YES, when and where are you going? Does your child have any medical conditions that we should be made aware of? This does not preclude your child from taking part. YES [ ] NO [ ] Please state: I confirm that I have given consent for (please insert your childs name here): ............................................................................................................. to complete and enter an application to be on FORT BOYARD ULTIMATE CHALLENGE Series 4 for CITV. I am the childs parent / guardian (delete as appropriate) SIGNED: ........................................................ DATE: ............................. NAME OF PARENT/GUARDIAN (print): ........................................................ ADDRESS: .............................................................................................. .............................................................................................................. .............................................................................................................. TELEPHONE: ......................................................... MOBILE: ............................................................. I would like to be sent a copy of Zodiak Medias Child Protection Policy [ ] Tick Box I consent to my personal information and the personal information of my child which is contained within this application form being used by Foundation TV/Zodiak Media and/or CITV (and the other companies within the ITV Group of companies) for the purposes of processing this application and for producing the programme: Tick Box [ ] YES / [ ] NO

FILL IN ALL THE SECTIONS. You can use an EXTRA PAGE IF you need. Please also attach A RECENT PHOTOGRAPH of yourself. Please note photographs provided by post cannot be returned.
ABOUT YOU TO BE COMPLETED BY CONTESTANT Name: Age (you must be between 12-18 years old by June 2013): Address: Name of parent/guardian and contact number: QUESTIONS TO BE COMPLETED BY CONTESTANT DO YOU HAVE A PASSPORT VALID UNTIL JULY 2013? YES/NO CAN YOU SWIM? YES/NO IF YES, HOW CONFIDENT A SWIMMER ARE YOU? HAVE YOU EVER BEEN SWIMMING IN THE SEA? HOW TALL ARE YOU? HOW MUCH DO YOU WEIGH? ARE YOU AVAILABLE FOR AUDITIONS ON ONE OF THE FOLLOWING DATES? Saturday 25th May, Sunday 26th May or Monday 27th May(These dates are still to be confirmed and may change) HAVE YOU EVER BEEN AWAY FROM HOME WITHOUT YOUR PARENTS/GUARDIAN? YES / NO WHERE DID YOU HEAR ABOUT FORT BOYARD? HAVE YOU EVER BEEN ON TV BEFORE? YES / NO DESCRIBE THE MOST ADVENTUROUS/FUN THING THAT YOUVE EVER DONE? WHAT ARE YOUR HOBBIES AND INTERESTS?

WHAT SPORTS DO YOU PLAY? ARE YOU A MEMBER OF ANY TEAMS? WHAT QUALITIES DO YOU BRING TO A TEAM? DESCRIBE YOURSELF! DO YOU HAVE ANY FEARS? e.g. heights, creepy crawlies, water, small spaces, the dark! WHY DO YOU WANT TO GO TO FORT BOYARD ? And finally, please attach a current photo of yourself!

Please send completed applications by 20th May 2013 to: Fortboyard@foundationtv.co.uk OR Fort Boyard Zodiak Media Gloucester Building Kensington Village Avonmore Road London W14 8RF Application checklist: Parental Consent form to be completed by a parent/guardian Completed application form

A photo of yourself