Membership Form

SingleCouple

Your Name*

First NameLast Name

Date of Birth*

Date

Your Age*

Email*

example@example.com

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

State/City of Residence*

FemaleMale

Sexual Identity*

Current Pronoun*

Partner’s Name*

First NameLast Name

Partner's Date of Birth*

Date

Partner's Age*

Partner’s Email*

example@example.com

Partner’s Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Partner's State/City of Residence*

FemaleMale

Partner's Sexual Identity*

Partner's Current Pronoun*

Social Media Contacts*

Rows	You	Your Partner
Instagram
Facebook
Twitter

Please upload a current full body/frontal image in swimwear or lingerie including your full face.*

Please upload a current full body/frontal image of your partner in swimwear or lingerie including your face.*

What do you hope to gain as a member? *

What fetish groups are you a member of? *

Who recommended you or how did you hear about us?*

By checking "I agree" you confirm that you are 21 years of age or older, are requesting membership into the BLACK SWINGERS SOCIETY (BSS) social club at your own free will, and the information submitted in the form is true and accurate. You also attest that the images provided are current and are true representations of yourself and your partner.

FIRST TIER MEMBERSHIP: Membership fees are waived as our community grows. Once we reach our targeted FIRST TIER MEMBERS, membership fees will apply.

ONLY MEMBERS OF THE FORMER BLACK SWINGERS RETREAT COMMUNITY WILL BE GRAND-MOTHERED in and will have Lifetime membership.

MEMBERSHIP IS NOT GUARANTEED!!!
The Black Swingers Society is a private club and we reserve the right to approve applicants that meet the needs of the BSS environment. Please understand that BSS is an EXCLUSIVE LIFESTYLE social club and members are chosen discreetly to meet the specific needs of our community. If it is discovered that there was any misrepresentation, membership will be canceled immediately and you and your partner will be banned from attending any future BSS events.

Once fees are reinstated, there will be a mandatory application fee for all potential members. You acknowledge that payment of this fee does not guarantee membership into the BSS Social Club or access to its events.

Monthly Fees will be determined after the growth process and are to be paid in order to maintain approved status AND to attend any and all BLACK SWINGERS SOCIETY events.

Once selected you will be notified via email.
I Agree*