Event Registration Event August 17, 2024 Dungeon Event - 08/17/2024 Your Information Application Type Guest Membership Regular Membership First Name Last Name Screen Name Phone Email Password (8 characters minimum) Address City State Zip Birth Date Area I live in Profile Description Profile Additional Information Height ---Select--- 4'0" and below 4'1" 4'2" 4'3" 4'4" 4'5" 4'6" 4'7" 4'8" 4'9" 4'10" 4'11" 5'0" 5'1" 5'2" 5'3" 5'4" 5'5" 5'6" 5'7" 5'8" 5'9" 5'10" 5'11" 6'0" 6'1" 6'2" 6'3" 6'4" 6'5" 6'6" 6'7" 6'8" 6'9" 6'10" 6'11" 7'0" and above Weight (lbs) ---Select--- 100 or less 101-110 111-120 121-130 131-140 141-150 151-160 161-170 171-180 181-190 191-200 201-210 211-220 221-230 231-240 241-250 251-260 261-270 271-280 281-290 291-300 300 or more Eye Color ---Select--- Blue Brown Gray Green Hazel Tell Me More About My Eyes! Hair Color ---Select--- Bald Black Brown Blonde Ginger Salt-and-Pepper Silver Gray White Dyed Something More Interesting Shaved Body Hair ---Select--- Smooth Some Hair Hairy Very Hairy Cut/Uncut ---Select--- cut partially cut uncut Sexuality ---Select--- Bi Gay Pan Queer Straight Gender ---Select--- Cis Male Trans Relationship Status ---Select--- Single Dating In a Relationship Partnered Engaged Married Monogamish Open Relationship Polyamorous Relationship Widowed Position ---Select--- Bottom Bottom/Vers Vers Top/Vers Top No Anal, Thank You Role ---Select--- DOM Switch, more DOM Switch, pretty evenly split Switch, more sub sub Not into D/s play Kinks HIV Status ---Select--- Negative Positive Positive Undetectible Don't Know Referral Source Referral Source Name Profile Photo Please note: your profile photo doesn't need to be a face pic but an image is required. 1. Select and upload profile photo (Maximum size 3MB): I hereby agree that the members, operators, agents, & owners of property, of the PDX Men's BDSM Party may not be held liable in any way for any occurrence in connection with the group's activities, which may result in injury, death or damage to me. I understand that the PDX Men's BDSM Party is a private event held in a private home. I also acknowledge that I am not attending this party as a police officer or a representative of any other law enforcement agency. In consideration for being allowed to attend the PDX Men's BDSM Party event, I do hereby assume all risks, in connection with said activity and undertaking, including, but not limited to exercises, sex acts, and other acts involving sadism and masochism, and I further release the Party hosts and facility owner, and their agents, for any harm, injury or damage, which may befall me while I attend or participate in this event, including all risk connected therewith, whether foreseen or unforeseen, and further to save and hold harmless said parties and their agents from any and all claims by me or my family, estate, heirs, agent or assigns, arising out of my attendance and participation in this event. I further state that I assume all risk or claims which may arise in connection with said activity. I further state that I assume all responsibilities of participation in this, the group's activities. It is further understood and agreed that all rights or recovery under applicable Washington law, similar law of any state or territory of the United States including any right under federal law are hereby expressly waived. I further state that I am of legal age and am legally competent to sign this release, and that I understand the terms herein are contractual and not mere recital; and that I have agreed to this statement as my own free act. I HAVE INFORMED MYSELF OF THE CONTENTS OF THIS RELEASE BY READING IT BEFORE SIGNING IT. I have read and understand the Release of Claims Waiver
Enter the number shown above