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Independent Adult Entertainers Statistics And Statement of Interest (Discreet Treats)
Please complete the form below for consideration.

Legal Name
Stage Name
Email
Phone
Website (optional)
Address:
City
State
zip
Date of Birth (mm/dd/yyyy)
Height (ft/in)
Measurements (w/ cup)
Ethnicity
Hair Color
Hair Length
Eye Color
Dress Size
Shoe Size
Body Shape
Piercing/Tattoos
Availability: (select all that apply)	AM PM Grave W/E Other
Explain Schedule
Are you available for travel?	yes no
Travel Radius
Do you have own transportation?	yes no
Modeling Experience Level
Format and style of work you are applying for: (select all that apply)	Dancing Massage Body Rubs Escort Modeling Travel Adult Videos
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