Bottoms Off Entertainment Application

 

Name: _________________________________ Age: ___________________________

 

Height: _________ Weight: _______________ Body measurements:______________

 

Address: _______________________________________________________________

 

City: ____________________________ State: ___________ Zip: _________________

 

Hobbies/Occupation/Yrs of Dancing Exp?

 

 

 

 

 

 

 

 

 

 

In case of emergency please list 2 emergency contacts.

 

Name:__________________________         Name: ___________________________

 

Address: _______________________          Address: _________________________

 

Phone: _________________________          Phone: ___________________________

 

 

Application fee is 10 dollars, no application will be considered without mailing in money order. Application fee is nonrefundable. Please remit payment to:

Jayda’s Place Promotions

P.O. Box 1001

Stone Mountain GA, 30083

 

For more information go to our website at www.geocities.com/bottoms_off_ent

or call 678-220-0191 or please leave an email at jaydas_place@bellsouth.net

 

Please submit at least 3 photos with your application. Photos mailed in  will not be returned.