Blackjacks Club
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Date of Application: *
Legal Name: *
Your Sex: * Male Female
For ENTERTAINERS ONLY, Your Stage Name if Any:
Cell Phone or Home Phone: *
City or Town You Currently Live In: *
Your Email Address:
Age: *
Position Applying For: *
If " Other " , Please describe :
Shift Preferred:
Previous Experience In Gentlemen's Clubs or Related Experience:
Are You Currently Working, and Where:
Additional Information You Wish To Provide:
Upload a Current Photo of Yourself (REQUIRED FOR ENTERTAINERS):
Upload Another Current Photo of Yourself (Optional):
Upload your resume :

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