Entertainer Application

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Please complete this form if you wish to become an entertainer. IMPORTANT: YOU MUST submit at least 1 photo of yourself -OR- a link to one of your social media accounts for identity verification. If you're not willing to do this, then do not attempt to apply, since this form can not be submitted without one of the above.

Personal Information

Name(Required)

First Last

Driver's License Number(Required)

Driver's License State(Required)

Permanent Address(Required)

Street Address Address Line 2 City State ZIP Code

Date of Birth(Required)

Social Security #(Required)

Email(Required)

Phone(Required)

Recent Photo or Social Media Page

You must provide at least one type of identity verification. You can upload a photo of yourself -OR- provide us with a link to a social media account/page. Please indicate your response to proceed.

Choice:(Required)

Photo Upload

Link to Social Media

Recent Photo(s)(Required)

Drop files here or

Accepted file types: jpg, png, gif, jpeg, pdf, webp, tiff, Max. file size: 10 MB, Max. files: 3.

Link to Social Media Page(Required)

Desired Stage Name(Required)

Prior Club Experience

Club Name (Most recent)

From Date

To Date

Club Name (2nd most recent)

From Date

To Date

Club Name (3rd most recent)

From Date

To Date

Digital Signature

First + Last Name(Required)

Typing your first and last name as it appears on your ID will act as your digital signature.

Name

This field is for validation purposes and should be left unchanged.

6900 New Falls Rd. Levittown, PA 19057 | 215-547-9610 | OPEN DAILY NOON-2AM