Legal Name:

Stage Name:

Birth Date:

Social Security Number:

Street Address:

City:

State:

ZIP:

Home Phone:

Cell Phone:

Email address:

Favorite Color:

Gown Designed by:

Hair Designed by:

Make Up Designed by:

Who is your most admired female impersonator, and why:

My greatest accomplishment to date is:

My ultimate goal in life is:

Hobbies:

My sponsors are: