Full name:                     

Full Address: 

Email Address:              

Home Telephone number:                

Mobil telephone number:                 

Sex:               Male          Female

Do you have any medical restrictions that might effect your  ability to perform and maintain a safe working environment?

  no yes

If yes please explain below.

Do any of the following effect you medically or physically (click all that apply)

Strobe lights    

Fake fog            

Close enclosed surroundings  

Large groups of people        

The dark     

Masks        

Anything else not mentioned above 

Do you have any related experience? If so what Experience:

What nights are you available to work?  Monday   Tuesday   Wednesday   Thursday  Fri    Sat   Sun

You Must be able to work On Friday's and Saturdays and Sundays!