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" indicates required fields
Are you 21 years or older, as required by law, to work in a licensed brothel?
*
Yes
No
We're sorry, but in order to work in a Legal Brothel, you need to be over 21 years of age and free of any legal warrants.
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Date of Birth
*
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Your full name (as listed on your driverโs license):
*
Where do you live? (City in box 1, State in box 2)
*
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Email
*
Phone
*
If we leave a message, may we say we are calling from the Chicken Ranch?
*
Yes, you can mention the Chicken Ranch
No, do not mention the Chicken Ranch
Do you have a criminal record?
*
Yes
No
Please describe your criminal history.
*
Please upload 3-4 *RECENT* pictures of yourself, taken within the last year. They must represent how you currently look. Please provide a full-body and a face picture. No filters!
*
Drop files here or
Select files
Accepted file types: jpg, png, jpeg, pdf, Max. file size: 5 MB, Max. files: 5.
Have a public video? You can place the link to it here (no video uploads, just the links).
Have you ever worked in a Legal Nevada Brothel?
*
Yes
No
Which Brothel(s)?
What was your Stage Name(s) at that Brothel?
Are you currently promoting your adult business in any way online like websites, social media, video? If so, list them here.
*We aren't looking for your private family accounts. Just the ones you use to promote yourself/your adult business, if any.
If you have additional experience, such as dancer, escort or other, please list them here
If there is any additional information you think we should know about, please tell us here.
How did you find out about The Chicken Ranch?
How did you hear about us?
Friend
Twitter/Instagram
Search Engine
Adult Video Website
Other
If other, please fill in.