ATI Independent Contractor (Dancer) Application

Applications WILL NOT be considered unless accompanied by a recent photo.
Full Name:

Address:

City, State, Zip Code:

State Zip Code

Phone:

( ) ext

Email:

(valid email required)
Age:

Have you danced before?

For which clubs?

Availability :

Days Nights Weekends Part Time Full Time  
Vital Statistics :

Bust: Waist: Hips: Height: Weight:

Describe yourself: any piercings, tattoos, scars etc..
We are a visually oriented business, please provide a pictures of yourself and upload below.
Applications WILL NOT be considered unless accompanied by a recent photo.
If you have multiple images, you may also send a .zip compressed file.
Please do not include any image formats other than .jpg
 

Note:
If you have any trouble submitting this form, please e-mail your information with attached photos to: applications@admiralx.com