Club Seduction - Member Application

Membership Application

Membership is required to attend the Club, with no exceptions.

All information submitted is strictly confidential, for internal club use only and will not be distributed to any other party.

After submitting this form, you will be sent an email with a link to confirm your email address. After confirmation of your email, you will receive an email with your membership number, pending final approval upon your first visit. A membership card WILL NOT be mailed to you.

Membership Type

* = Required

Member Info

First *

Last *

Gender *
Male Female

Date Of Birth *

First *

Last *

Gender *
Male Female

Date Of Birth *

Contact Info

City *

State *

Zip

Country

Email *

Confirm Email *

Phone

Referral / Sponsor

If a current member has referred you, please let us know who.

Name of Current Member

Photo *

A recent photo of you, from the waist up with faces, (For Office Use Only, to verify during Check In (Entry) )

Photo Upload

Lifestyle Info Please list your profile names from any of the lifestyle sites below:

SwingLifeStyle

AdultFriendFinder

SwingerZoneCentral

SwingerDateClub

Kasidie

FetLife

Other Site

ID on Other Site

How did you hear about our club?

Acknowledgment

I have read the Club Terms & Conditions and I agree to them. I confirm that the attached photo is me and that if it is not it may result in the revoking of my membership

There are errors above, please correct.