First Name *

Last Name *

Mobile Number *

Email *

Address *

City *

State *

Hometown (City, State)

Enter D.O.B (Must be 18 or older) *

Occupation

How did you hear about this casting?

Please list any game shows or reality shows you've been on in the last 24 months *

Social Media Link (Facebook, Instagram, TikTok, etc.) Please provide the full link.

Tell us 3 things about you that is unique, funny or different that might surprise people:

Please describe your personality and why you would be a great contestant?

On a scale of 1-10, how competitive are you? Why do you think so? Give an example of how you are competitive.

Do you like to play word games or crosswords? Which ones? Please tell also tell us what other games you like to play - alone or on game nights..

Please list 3-5 things that you love to do. What are your hobbies? Do you play a sport? Have a favorite team you cheer for? Host a Game night? Have a favorite holiday? Love the outdoors? Are you a thrill-seeker? Do you love to cook?

Why do you think you're going to win Scrambled Up?

What would you do with the $10,000 prize money?

Are you available for taping in Atlanta between July 2026 - August 2026?

Have you ever been detained for, arrested or convicted of a felony or misdemeanor offense, as a juvenile or adult? If yes, please indicate the city/state, month/year, charge and outcome (dismissal, conviction, etc.) for all incidents: *

Have you ever had a temporary or permanent restraining order entered against you, or has anyone tried to obtain a temporary or permanent restraining order against you? If yes, please indicate the city/state, month/year, describe the situation: *

Is there anything else we should know about that might prevent you from participating in the program? *

Do you have any medical, physical, or mental health conditions that would prevent you from safely participating in this game show or for which we should provide accommodations? If yes, please describe the condition and how it may affect your ability to compete *

Recent photo 1: MAKE SURE IT IS IN FOCUS! PLEASE SMILE!!!!!!! - ONLY YOU NEED TO APPEAR IN THE PHOTO (NO ONE ELSE - NO ANIMALS) - NO HATS OR SUNGLASSES, NO FILTERS, NO BLACK AND WHITE **Please DO NOT upload professional photos or headshots. THE FRAME SHOULD BE FROM YOUR WAIST TO THE TOP OF YOUR HEAD! *

Recent photo 2: (Full Body Shot STANDING) ***NO SUNGLASSES OR HATS and it should you alone in the photo ***Please DO NOT upload professional photos or headshots. *

PLEASE NOTE: Must be a US citizen, taping is in Atlanta, GA, travel and accommodations will not be provided. *