Brothel Application

"*" indicates required fields

Are you 21 years or older, as required by law, to work in a licensed brothel?*

Yes

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*

Your full name (as listed on your driver’s license):*

Where do you live? (City in box 1, State in box 2)*

City State / Province / Region Country

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

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

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

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?

If other, please fill in.