Employment Employment First Name * Last Name * Phone Number * Your Email * Address * Address Address 1 Address 1 Address 2 Address 2 City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Distance That You Will Travel * Under 1 Hour1 Hour to 2 Hours2 Hours - 3 Hours3 + Hours Experience * No ExperienceUnder 1 Year1-2 Years2-3 Years3-4 Years4-5 Years5 + Years Have You Danced For House/Private Parties? (IE Bachelor, Bachelorette or Birthday) * YesNo Gender * MaleFemale Age * Ethnicity * African-AmericanCaucasianHispanic Height * 4'115'0"5'15'25'35'45'55'65'75'85'95'105'116'06'16'26'3Other Height If you were referred to us by another dancer please input their email here I Agree to Allow 123 Strippers to use my pictures on their webite * YESNO What Stage Name do you want with your picture? * Comments * Tell us why you would be good fit for our company, you can also leave references Facebook If you are using Facebook, please provide your profile link Instagram If you are using Instagram, please provide your profile link Upload Picture * Drop a file here or click to upload Choose File Maximum file size: 67.11MB Upload Picture * Drop a file here or click to upload Choose File Maximum file size: 67.11MB Upload Driver's License or other Form of ID * Drop a file here or click to upload Choose File Maximum file size: 67.11MB