Legal Name
*
First Name
Last Name
Preferred Name
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First Name
Last Name
Date of Birth
*
Email
*
Phone Number
*
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Emergency Contact | Name & Number
*
Have you attended similar events before?
*
Passcode Verification or Referral
*
How did you hear about this event?
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Are you affiliated with any kink or alternative communities?
*
Consent to background check
*
I consent to a soft background check as a requirement for attendance at this event
Non-Sex Offender Status Confirmation
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I confirm that I am not registered on any national or state sex offender registry
Criminal Background Confirmation
*
I confirm that I have not been convicted of or accused of sexual, violent or aggressive crimes
Consent & Respect Policy
*
I have read, understood, and agree to abide by the event's Code of Conduct, including all consent & respect guidelines
Zero-Tolerance Acknowledgement
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I acknowledge the event's zero-tolerance policy regarding harassment, consent violations, & unsafe behavior
On-Site Assistance Awareness
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I understand that on-site event hosts, staff & security are available to assist with any concerns
Optional Safety & Comfort Information
Please let us know of any accommodations or personal needs we should be aware of to make your experience more comfortable
Liability Waiver
*
I understand and agree to the events liability waiver
Photography/Videography Consent
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I consent/do not consent to photography or video that may be taken at the event in designated areas, or as indicated by the use of the band system
NDA Agreement
*
I have read, understood, and agree to the terms outlined by the event’s Non-Disclosure Agreement (NDA)
Confirmation of Provided Information
*
I confirm that the information provided is accurate and true to the best of my knowledge. I understand that any falsified information may result in denied entry or a ban from future events
