FIRST NAME: (required) LAST NAME (required): SUBJECT (required): PHONE # CITY: EMAIL: (required) GENDER: DATE OF BIRTH: OCCUPATION: BRIEFLY DESCRIBE YOUR ACT: DO YOU HAVE ANY NEEDS REQUIRED TO FACILITATE YOUR PERFORMANCE(room to move, lighting, etc...)? WHAT MAKES YOU STAND OUT FROM OTHER PERFORMERS? WAIVER: I have read, and understand that The Comic Strip reserves the right to refuse any performer or act; in it’s sole discretion, for any reason or no reason. Your performance shall in no way injure, or put audience members at risk. The Comic Strip is not responsible for any injuries and or related incidents in conjunction with the “Funniest Person with a Day Job” series. I have read, understand and agree with the foregoing. I agree to the Funniest Person With a Day Job waiver. SIGNED:
