Suoritettu

Php Contact form / Questionnaire

Need a page designed for my website as a Contact / Questionnaire form? with a document browse/upload fuction, and picture browse/upload function --then form sent to email account.?

All text is? typed out and ready to go.?

Some lines need a yes or no option (could be drop down or box check).

Some lines need text input box.?

A line or two needs box check options.?

And a line or two needs drop down option. ?

## Deliverables

rentacoder dwow talent form... ?

***notes no mandatory fields

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(LOGO gif centered of the page /please link graphic to [url removed, login to view])

[[url removed, login to view]][1]

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(TEXT)

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****Please note ALL talent, even if currently listed on site MUST fill out this form to*

*be listed on the NEW DWOW site coming soon!****

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The Dangerous Women of Wrestling are always looking for new, fresh faces

for the most entertaining show touring and now filming for their National Television today!

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Experienced or not, we will train and utilize the right people for our show--in almost every position we have available**. ? Think of the Dangerous Women of Wrestling as 1 part wrestling, 1 part Jerry Springer, and 1 part Girls Gone Wild --all packaged as a hot, sexy, and dysfunctional Las Vegas style touring wrestling entertainment show.** ***Wrestling, dancing, stripping, tipping, cripples, fat people, midgets, comedy, and much more are packed into our show.***? We have something for everyone who attends a DWOW event live or watches us on TV!? Guys as well as girls are invited to attend DWOW live events!

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Whether you are a seasoned pro wrestler (tired of working in front of 50-100 people with no TV and no exposure --why break your back for that?), a new wrestler, or want to learn to wrestle or be in show business this is the place for you! ? If you are a professional dancer or exotic entertainer and you like to not only entertain --but to be appreciated with the response of the crowd AND get paid for it --then this is the place for you! ? If you are a male or female with a handicap --and you don't take life to seriously, and you like to have a good time, make some money, and perform in front of live crowds --well by all means please apply now!

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We have come up with a very extensive “get to know you?? type questionnaire below.

We ask you to be honest and frank.? No answer is right or wrong, we are looking for

outgoing, exciting people who want to be apart of something special on a National level.

We are looking for new superstars that need a level playing field to get started on or

to excel.? We have had several girls who went onto WWE, TNA, Pay Per View, TV shows and reality series in the past ??"and you could be next! ? We are looking for people who are not afraid to do what they do, or to go that extra mile.

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If you understand that the **Dangerous Women of Wrestling** produce an entertainment show product with wrestling, comedy, tna, and you have an open mind and don't take life of wrestling too seriously and you will help any way you can to spread the word, be a team player, and like to have fun --then please by all means fill out this form and we look forward to speaking with you soon on joining our team!

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The more information you can give us the better.? For priority consideration fill out entire

questionnaire!?

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Real Name (First and Last): (text input box)

Nickname: (text input box)

Hair Color: (text input box)

Hair Length; (text input box)

Eye Color: (text input box)

Do you wear color contacts --if so color: (text input box)

Height: (text input box)

Bust: (text input box)

Waist: (text input box)

Hips: (text input box)

Show Size: (text input box)

Dress Size: (text input box)

Current weight: (text input box)

Average weight (last 2 years): (text input box)

What is your best asset: (text input box)

Ethnic background:? (text input box)

Are you a US citizen:(text input box)

If no, do you have a current passport or work visa: (text input box)

What country are you living in: (text input box)

City / State: (living currently) (text input box)

E-mail Address: (text input box)

Would you like to be added to the DWOW VIP email list: (text input box)

Cell Phone #: (text input box)

Best time to call you (day / time frame): (text input box)

Do you text message: (text input box)

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Position applying for check all that apply: (check boxes)

(box) wrestler? ? ? ? (box) referee? ? ? ? (box) eye candy? ? ? ? (box) ring announcer ? ? ? ?

(box) oil wrestler? ? ? ? ? (box) stage dancer? ? ? ? (box) backstage interview? ? ? ?

(box)TV announcer? ? ? ? (box) street team? ? ? ? (box) internet street team? ? ? ?

(box)website developer? ? ? ? (box) website marketing? ? ? ? (box) video camera crew? ? ?

(box) video editing crew? ? ? ? (box) ring/show crew? ? ? ? (box) other(text box)? ? ? ? ? ? ? ? ? ? ? ?

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How many years experience in the business wrestling / entertainment? (drop down box options 1, 2, 3, 4, 5, 6, 7, 8, 9, 10+)

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What is current gimmick --please describe outfit, and tell us about your name and character? (text input box)

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Do you have any acting experience? If so explain: (text input box)

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Do you have any stunt work experience?? If so explain: (text input box)

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Do you have any piercing’s? If so, where? (text input box)

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Do you have tattoo’s? If so what of, and where are they located? (text input box)

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Give us a mini resume as it pertains to the position you are applying for: (text input box)

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Why should we hire you? (text input box)

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Please check what companies you have pages or a member of: (check boxes --check all that apply)

myspace link: (text input box)

facebook link: (text input box)

twitter link:? (text input box)

youtube link: (text input box)

yahoo link:? (text input box)

Do you have an actual website: (text input box)

Please list any other social networking, fan clubs, or sites you have pages, websites, etc... (text input box)

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Have you ever worked for WWE and/or TNA wrestling? (yes or no)

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Have you ever tried out for WWE and/or TNA? (yes or no)

If so, when?? What happened: (text input box)

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Do you aspire (want) to work for WWE and/or TNA one day? (text input box)

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Did you ever work in Mexico, Canada, Japan, or outside the United States? (text input box)

If so, where?? How was your experiences outside the US? (text input box)

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Who is your dream opponent in the ring or who would you like to work with? (text input box)

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Ever appeared topless or nude in a magazine, online, or video? (text input box)

If so, when and what company, site, or title of video? (text input box)

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What has been your career highlight in the wrestling or entertainment

business? (text input box)

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What has been your career lowlight in the wrestling or entertainment

business? (text input box)

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What are your looking to make money wise on a per-show basis? (text input box)

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Are you afraid to fly on an air plane? (yes or no)

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Do you get car sick? (yes or no)

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Would you be cool touring on a tour bus?? (yes / no)

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Are you married, in a relationship or single? (drop down box choices -- married, dating boyfriend, dating girlfriend, single, loner)

If so, is your significant other okay with you wrestling, performing, etc… (yes or no)

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Does your mate come with you to shows? (yes or no)

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Do you have any children?? If so what ages? (text input box)

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Do you have a current drivers license? (yes / no)

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Do you have a car?? (yes / no)

If so, what year, make, do you drive to shows, and what is the furthest you have driven to be on a show? (text input box)

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Are you and your car insured?? (yes / no)

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Do you have a regular full time job? (yes or no)

If so, will you be able to make all or just some of the shows? (text input box)

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If Dangerous Women of Wrestling were to tour for 7 days could you make the tour,

provided your transportation, lodging and pay was covered? (yes or no)

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If we were to tour for a month straight could you make the tour? (yes or no)

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If we had a show stationed in Las Vegas, ran 5 shows a week, provided pay,

and lodging, does this sound like something you would be interested in doing

-basically living and working in Las Vegas or a resort town or cruise ship? (yes or no)

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Have you ever bled in the ring before (forehead)? (yes or no)

Would you do it for the right gimmick and storyline? (yes or no)

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Have you ever been injured in the ring, during a match? (yes or no)

If so, explain --do tell... (text input box)

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Have you ever kissed a girl? (yes or no)

If no, ever consider it? (yes or no)

If so, would you do it again? (yes or no)

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Have you ever been with a girl? (yes or no)

If no, ever consider it? (yes or no)

If so, would you do it again? (yes or no)

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Would you get topless in the ring or behind the scenes for video and pictorial? (yes or no)

If no why?? How much would it cost to have you get topless? (text input box)

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Would you get nude in the ring or behind the scenes for video and pictorial? (yes or no)

If no why?? How much would it cost to have you get nude? (text input box)

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Have you ever appeared on the Howard Stern show? (yes or no)

If we booked you for Stern would you appear on his show? (yes or no)?

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Have you ever appeared on O&A (Opie and Anthony)? (yes or no)

If we booked you for O&A would you appear on their show? (yes or no)

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Have you ever appeared on any radio show (national or local please list what show, and area covered)? (text box)

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Have you ever appeared on any INTERNET SHOWS (audio and/or video --please list what show and site)? (text box)

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Would you help promote upcoming shows, Dangerous Women of Wrestling appearances, websites, etc... if we booked you to do so? (yes or no)

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Have you ever appeared in Girls Gone Wild? (yes or no)

If no, would you ever consider appearing in a Girls Gone Wild video? (yes or no)

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Have you ever appeared on Jerry Springer?(yes or no)

If no, would you ever appearing on the Jerry Springer show?(yes or no)

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Have you ever appeared in a REAL Reality show like on MTV or E?(yes or no)

If no, would you ever appear in a Reality show?(yes or no)

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Any extra ordinary talents we should know of?(text input box)

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Any other talents we should know about?(text input box)

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What other skills or talents could you bring to DWOW?(text input box)

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If you are a male applying, you better have a unique talent / trait,

Handicap, no arms, legs, or something of other use than just

being in-ring talent.? What is it? (text input box)

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Do you drink alcoholic beverages? (yes or no)

If so, what are your favorites. (text input box)

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Have you ever been arrested?(yes or no)

If so, for what and did you serve time? (text input box)

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Who are your top three most favorite wrestlers of all time? (text input box)

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Who are your top three celebrities? (text input box)

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List your top five non-wrestling TV shows --network or cable (text input box)

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Please provide us (if available) with a resume (upload option)

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Please provide us with the most current picture of yourself. (upload option)

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Additional picture. (upload option)

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Additional picture. (upload option)

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SEND BUTTON to talent@[url removed, login to view]

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(small 8 point arial font)

Filling this questionnaire out, and sending it (using send button) does not guarantee a spot in the show or employment.? Someone from the Dangerous Women of Wrestling will be in touch with you usually within 48-72 hours to update you on the status ??"sometimes longer depending on schedule.? Thank you for filling out this form and BEST OF LUCK!

Taidot: tekniikka, MySQL, PHP, projektinhallinta, tietojärjestelmäarkkitehtuuri, Ohjelmistojen testaus, Käyttöliittymä/informaatioarkkitehtuuri

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( 35 arvostelua ) United States

Projektin tunnus: #2883712

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websolutecodevw

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