Please type or print clearly.
All applicants must be at least 21 years old.
Date: _______________________
Legal Name: ________________________________________ Scene Name: ___________________________
(This will be kept confidential)
Date Of Birth:___________________ E-Mail Address:________________________________________________
Mailing Address: ________________________________________________________________
Club Affiliations: ____________________________________________________________________________
_________________________________________________________________________________________
Please list at least 2 Leather references, including contact information: (email address or ph #)
___________________________________________________________________________________________
___________________________________________________________________________________________
Briefly state why you wish to join BbD: ___________________________________________________________
___________________________________________________________________________________________
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Do you consider yourself a (check one) __Novice __Intermediate __Experienced __Expert player?
BbD Mentor/Sponsor (if known): _______________________________________________________________________
Legal Signature of Applicant: _______________________________________
Current yearly membership fees are $35 and are due within 30 days from letter of Acceptance. If fees are not received within 30 days this application will be rendered null and void. Do not send money with application.
We reserve the right to ask for legal identification. We also reserve the right to decline membership without stating a reason. We do not discriminate on the basis of race, religion, ethnic background, age above majority, sexual orientation or physical ability.
www.boundbydesire.org P.O. Box 3733 Austin, TX 78704 infobbd@yahoo.com