Sapd Form Sob-3 - Sexually Oriented Business Floor Manager Entertainer Permit Application Form

ADVERTISEMENT

CITY OF SAN ANTONIO
SEXUALLY ORIENTED BUSINESS (SOB)
FLOOR-MANAGER & ENTERTAINER PERMIT APPLICATION
PRINT USING BLACK OR BLUE INK ONLY
Section A: Identification Data
DATE OF APPLICATION
NAME OF INITIAL SOB WHERE YOU WILL BE WORKING/PERFORMING
1. STAGE NAME:
NAME
NUMBER ASSIGNED BY CITY
(If an Entertainer)
2. REAL NAME:
LAST
FIRST
MIDDLE
MAIDEN NAME
3. RESIDENTIAL ADDRESS:
STREET ADDRESS
COUNTY & CITY
STATE
ZIP CODE
4. BIRTH INFORMATION:
MONTH/DAY/YEAR
PLACE OF BIRTH
CITY, COUNTY & STATE
5. DESCRIPTORS:
RACE
SEX
WEIGHT
HAIR COLOR
EYE COLOR
HEIGHT
6. TATTOOS:
DESCRIPTION
LOCATION
7. IDENTIFICATION:
Driver's License/State
Identification No./State
U.S. Passport No.
Military I.D. No.
8. POINT OF CONTACT:
Your Telephone No.
Section B: Criminal Information
9. HAVE YOU BEEN CONVICTED OF ANY OF THE FOLLOWING OFFENSES WITHIN TEN YEARS
IMMEDIATELY PRECEDING THE DATE OF THIS APPLICATION?
a. Prostitution or Promotion of Prostitution
YES _____
NO _____
b. Aggravated Promotion of Prostitution
YES _____
NO _____
c. Compelling Prostitution
YES _____
NO _____
d. Obscenity
YES _____
NO _____
e. Sale, Distribution of Display of Harmful Material to a Minor
YES _____
NO _____
f.
Sexual Performance By A Child
YES _____
NO _____
g. Employment Harmful To Children
YES _____
NO _____
h. Possession of Promotion of Child Pornography
YES _____
NO _____
i.
Public Lewdness or Indecent Exposure
YES _____
NO _____
j.
Indecency With A Child
YES _____
NO _____
k. Sexual Assault, or Aggravated Sexual Assault
YES _____
NO _____
l.
Harboring a Runaway Child
YES _____
NO _____
m. Criminal attempt, conspiracy or solicitation to commit any of the above offenses
YES _____
NO _____
n. A felony in any jurisdiction
YES _____
NO _____
o. Any Violation of City Ordinance Number 2012-12-06-0933 (Sexual Oriented Business), as
YES _____
NO _____
amended
p. Texas Penal Code 20A.02 - Trafficking of Persons
YES _____
NO _____
Page 1 of 2: December 2012
SAPD Form SOB-3

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Go
Page of 2