ENTERTAINER BOOKING APPLICATION

 

 

 

Legal Name ______________________________                         Stage Name _________________________

 

Address ___________________________________________________________________________

 

City _____________________________  State _____________________  Zip ___________________

 

Home Phone ____________________________  Cell Phone __________________________________

 

Date of Birth ______________________________  Age as of Application _______________________

 

Shifts Applying For ____________________________________________

 

Days Available ________________________________________________

 

Previous Experience 1. ___________________________________ From ___________ To ____________

                             

                                  2. ___________________________________ From ___________ To _____________

 

                                      3. ___________________________________ From ___________  To ____________

 

Have you ever been convicted of a crime? ______________ 

 

If Yes, please explain ____________________________________________________________________

 

Emergency Contact Person _____________________________  Phone ____________________________

IMPORTANT

 

I CERTIFY THAT THE ABOVE INFORMATION IS CORRECT AND I UNDERSTAND THAT IF ACCEPTED, ANY FALSE STATEMENT ON THIS APPLICATION MAY RESULT IN BEING ASKED TO NO LONGER ENTERTAIN AT THIS FACILITY.  I FURTHER UNDERSTAND THAT THIS APPLICATION IS NOT AND IS NOT INTENDED TO MEAN THAT I AM ALLOWED TO ENTERTAIN HERE, NOR DOES THIS APPLICATION OBLIGATE THE OWNER IN ANY WAY TO ALLOW ME TO ENTERTAIN HERE.  I UNDERSTAND THAT MY ENTERTAINING HERE IS AT WILL AND CAN BE ENDED BY EITHER PARTY WITH OR WITHOUT NOTICE, AT ANY TIME FOR ANY REASON.  YOU ARE HEREBY AUTHORIZED TO MAKE AN INVESTIGATION OF MY PERSONAL HISTORY INCLUDING, BUT NOT LIMITED TO A CRIMINAL BACKGROUND CHECK.  FURTHER, I UNDERSTAND THAT POSSESSION OF OR USE OF ANY ILLEGAL DRUGS AND ANY ILLEGAL SEXUAL ACTIVITY WILL BE CAUSE FOR IMMEDIATE DISMISSAL WITHOUT BENEFIT OF WARNING.

 

SIGNATURE _____________________________________________ DATE ________________________