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Exotic Dancer Application
Legal Name
*
First
Last
Stage Name
*
First
Last
Address
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Line 1
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City
State
Zip Code
Country
Phone Number
*
Mobile Phone Number
*
Email
*
Age
*
Weight
*
Date of Birth
*
Eye Color
*
Height
*
Hair Color
*
Skin Type
*
Light
Tan
Dark
Ethnicity
*
Caucasian
Hispanic
African
Asian
Middle Eastern
Western European
Eastern European
Other
What Country are you a Citizen of?
*
Do You Have A Passport?
*
Yes
No
From What Country?
*
Employment Desired
*
Exotic Dancing
Feature Entertainer
Belly Dancing
Go-Go Dancing
Modeling
Acting
Do You Have Experience?
*
Yes
No
Available To Travel?
*
Yes
No
If Yes List Experience
*
When Are You Available?
*
Please Tell Us About Yourself
*
Emergency Contact Name
*
First
Last
Phone Number
*
Comments Or Questions
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Please Upload A Recent Photo
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