Legal Name:
Stage Name:
Email Address:
Date Of Birth:
City, State, Zip:
Phone Number:
Years As A Comedian:
How you heard about the Competition:
List Your National TV & Film Credits:
List three (3) Comedy Professionals/Industry Executives (Name, E-mail address & Phone Number) as References:
Video Link of YOUR BEST STAND-UP (not older than one year) of 5-10 continuous minutes.:
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