T:(610) 385-3822
395 West Benjamin Franklin Highway (Rt. 422)
Douglassville, PA 19518

OPEN EVERYDAY

Sunday, Monday, Tuesday

3:00pm-2:00am

Wednesday, Thursday, Friday, Saturday 

12:00pm-2:00am

Entertainer Employment Application

Utopia Cabaret welcomes you! If you would like to become a part of our talented and beautiful roster of exotic entertainers, please fill out the enclosed application. We will ONLY consider applications that are filled out completely. Please include pictures! Thank you for your interest in our company and we look forward to having you in for an audition soon.

License or State ID#
License state of issue
*(Real) First Name
Middle Name
*Last Name
Stage Name
*Cell Phone
Leave VM
Do you live alone?
If no, do we need to be discreet when we call you?
If yes, how should we ask for you?
*Email
Other
Street Address
City
State
Zip Code

STATISTICS
Age
Birthdate (MM/DD/YYYY)
Height
Weight
Eye Color
Hair Color
Hair Length
Hair Texture (straight, curly, etc.)
Bra Size (Ex: 34C)
Waist
Hips
Pants (size)
Skin (tan, fair, etc.)
Shoe size
Tattoos (type and location)
Piercings [other than ears] (type and location)
Medical conditions
Prescription medications

PERSONAL INFORMATION
Marital Status
Husband's Name
Do you have children?
Emergency Contact 1
Relation
Emergency Contact 1 Phone
Emergency Contact 2
Relation
Emergency Contact 2 Phone
Are you willing to submit to a drug test?
If no, explain
Have you ever been convicted of a felony?
If yes, explain
Reference 1
Reference 1 Phone
Reference 2
Reference 2 Phone
Reference 3
Reference 3 Phone

PAST EMPLOYMENT
Past Employer 1
Reason for leaving
City
State
Avg. income/wk
Manager
Past Employer 2
Reason for leaving
City
State
Avg. income/wk
Manager
Past Employer 3
Reason for leaving
City
State
Avg. income/wk
Manager

PICTURES OF YOURSELF
*Upload a face image
*Upload an image in costume
*Upload a body image
By submitting this application I hereby give permission for my photograph to be taken and used for identification purposes related to this application. 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.
*Signature (enter your full name)
*Today's Date (MM/DD/YYYY)

Location

395 West Benjamin Franklin Highway
(Rt. 422)
Douglassville, PA 19518
Tel: (610) 385-3822
Open 11:30am-2am Daily

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 Utopia Cabaret © 2017  |  All Rights Reserved