First Name (required)

Last Name (required)

Subject (required)

Phone

City

Email (required)

Gender

Birthday

Occupation

Briefly discuss your act:

Do you have any needs required to facilitate your performance (room to move, lighting, etc.)?:

What makes you stand out from other performances?

Waiver

I have read, and understand that House of Comedy 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. House of Comedy 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.


Signature (required)

Date