APPLICATION FOR DANCER CONTRACT
Only Paradise Saloon offers a friendly, secure and professional environment for entertainers to work and excel in. The safety of our entertainers is of great importance to us and we pride ourselves in an our incident-free record. We screen all potential members and entertainers, use state-of-the-art security equipment, employ well-trained security staff and incorporate preventive security procedures into our business practices. At the same time, we offer a clean, professional, well-managed and fun environment for you to maximize your working experience. So sign up today, and see the difference!

Date of birth (YYYY-MM-DD)
Have you danced before?	Yes    No
Where have you danced at (if applicable)?
Do you have transportation?	Yes    No
Are you taking prescription drugs on a regular basis?	Yes    No
If so, for what reasons?
What drugs are you taking on a regular basis, if any?
Have you ever been convicted of a sexually-related offense?	Yes    No
Have you ever been convicted of a drug-related offense?	Yes    No
Have you ever been convicted of an alcohol-related offense?	Yes    No
Your marital status:	Single    Married     Divorced     Separated
How many children do you have?
If you have children, who cares for them while you are at work?
In case of an emergency, who should be contacted?	Contact person Relationship to you Contact number
Which shifts are you interested in working? Check all that apply:	11:30am to 6:30pm   1pm to 8pm   2pm to 9pm   3pm to 10pm   4pm to 11pm   5pm to midnight    7pm to 1:30am   Sundays 5pm to 1:30am
Your name
Address
City
State	select a state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
ZIP
Social Security Number
Phone number
E-mail
Desired stage name
Application date (YYYY-MM-DD)	today's date
Any special instructions or comments
	to pictures and confirmation screen