Entertainer Application

License or State ID#

License state of issue

(Real) First Name

Middle Name

Last Name

Stage Name

Cell Phone

Home Phone

Do you live alone?

Do we need to be discreet when calling?

If yes, how should we ask for you?

VM?

Page

Other

Street Address

City

State

Zip Code

Statistics

Age

Birthdate

Weight

Height

Eye Color

Hair Color

Length

Texture (straight, curly, etc.)

Bra size

Cup size

Waist

Hips

Pants (size)

Skin (tan, fair, etc.)

Shoe size

Tattoos (type and location)

Piercings (type & location)

Medical conditions

Prescription medications

Personal Information

Marriage status

Husband's Name

Do you have children?

Emergency Contact 1

Relation

Phone

Emergency Contact 2

Relation

Phone

Are you willing to submit to a drug test?

If no, explain

Have you ever been convicted of a felony?

If yes, explain

Are you currently on probation?

If yes, explain

Reference 1

Phone

Reference 2

Phone

Reference 3

Phone

Past Employment

Past Employer 1

Reason for leaving

Avg. income/wk

Manager

City

State

Past Employer 2

Reason for leaving

Avg. income/wk

Manager

City

State

Past Employer 3

Reason for leaving

Avg. income/wk

Manager

City

State

Images

Upload a face image

Upload an image in costume

Upload a body image

Comments

I hereby declare that I am at least 18 years old and that the above statements are true and that any false statements shall be considered fraud and make me liable for dismissal and/or prosecution.

By submitting this application I hereby give permission for my photograph to be taken and used for identification purposes related to this application.

Yes

Electronic Signature (enter your full name)

Today's Date