Club Membership Registration Form

Kink Cafe' Membership

Deliciously naughty food
We are delighted to have you join our exclusive dining club, which is for the mature crowd with discerning taste buds. Our mission is to create an immersive dining experience that transcends the ordinary and transports you to a world of unrestrained indulgence.

We look forward to sharing unforgettable dining experiences with you.

Bon appétit!
Name*

First NameLast Name
Preferred Pronoun*

She/HerHe/HimThem/They
E-mail*
example@example.com
Mobile Number**
*Message and data rates may apply.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Date
Current Age:
Where did you hear about us?

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Preferred way to contact*

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TERMS & CONDITIONS

The privacy and safety of Kink Café and our Guests are paramount, and confidentiality is required of all Members, Guests, Performers, Employees, and Officers. To participate in any Kink Café Dining Event, I hereby agree to the following:
1. I will not disclose identifying information of any Kink Café Member, Guest, Participant, Performer, Employee, or Officer to the public.
2. I will not use or attempt to use photography or video recording at a Dining Event unless I am given express permission by Kink Staff.
3. I will treat everyone with respect.
4. I will not touch performers without consent.
5. I will immediately notify Kink Cafe' Security or Staff any time I become aware of or have reasonable cause to suspect that anyone's safety or ability to consent is at risk.
6. I will not bring any guests under 21 years of age.
7. I will not bring more than 3 guests to dine with me.
8. I acknowledge that I am responsible for the behavior of my guest(s).
9. I acknowledge that any violation of Kink Cafe's Terms & Conditions will result in immediate removal from the Dining Event, without refund, and a permanent ban from all future Events.
10. There are no refunds.
Terms & Conditions Acknowledgment*

I will adhere to the terms & conditions as set forth by Kink Cafe'.
Application Date*

MonthDayYear
Date

My Products*

KINK CARD MEMBERSHIPMonthly

$10.00 for each month

KINK CARD MEMBERSHIPYearly

$105.00 for each year

Total

$0.00

Credit Card

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Kink Cafe' Membership

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