PERFORMER APPLICATION - Smiles

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Primary Phone #: *

Email Address: *

Stage Name: *

Body Measurements (Height, Weight, Hair, Eye Color & Ethnicity):

Initial with the acknowledgement of optional full nude performance per our establishment protocol: *

What is your Availability?: *

Do you have transportation to and from Smiles? *

Yes
No

Affirmation of accuracy to the best of the performers knowledge (Type Full Name): *

Name will be counted as your signature affirming all above is true as of date of submission.

Show us how hot you are! Please provide us with a clear photo of your face and at least one full body shot - JPG AND PNG ONLY - FILENAMES WILL SHOW TO THE RIGHT UPON SUCCESSFUL SUBMISSION -If Image fails, feel free to email images separately to inquiries@clubsmilesny.com: