Cookies & Kink: Bloom & Bond

1

Name

First Name

Last Name

2

Age * This field is required.

4

What is your play name?* This field is required.Play name: The name you want people to call you at the kink party if you would rather not use your real name..

Kink Name

5

Email* This field is required.

example@example.com

6

Phone Number* This field is required.

Area Code

Phone Number

7

Are you interested in being contacted about future kink related events? If so please list preferred method of contact (Fet life link, number, email, etc)* This field is required.

8

Have you been to a Kink/BDSM event in the past?* This field is required.

YESNO

9

Is there a specific kink you are interested in learning more about?* This field is required.

10

If yes, please list them below.

11

What are your sexual preferences?

12

Do you have any dietary restrictions.Please list your dietary restrictions.

14

Are you one of the following?

Vegan Vegetarian

15

Do you agree not to attend if you test positive for COVID?* This field is required.

YESNO

16

Can we photograph you while attending this event?* This field is required.

YESNO

17

How do you plan on paying?* This field is required. Cookies & Kink Early Bird $25 Women $35 Men | Couples $45 General Admission $35 Women $45 Men | Couples $60 Door Tickets $50 (If available)

18

Have you ever had a bad experience at a kink/bdsm party?* This field is required.

YESNO

19

What are your views on women having equal rights?* This field is required.

20

Are you comfortable being in the room with people of the LGBTQ+ community?* This field is required.

YESNO

21

We want to create a more diverse space, and because of this, we would like to know your ethnicity.* This field is required.Please fill out to the best of your ability.

22

Are you apart of the LGBTQ+ community?* This field is required.

YESNO

23

Do you agree to not engage in play if you have any sexually transmitted disease?* This field is required.

YESNO