Name *

First Name

Last Name

Birthday *

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

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Name of Sponsor *

A current member of Rudis that will speak on your behalf when your application is considered by the voting members of Rudis.

First Name

Last Name

What is your level of comfort in appearing in social media or photos? *

RUDIS takes your privacy seriously. We understand the nature of leather and kink sometimes requires discretion. Therefore we want to know who we can feature in our publicity and to what degree you are comfortable. At some of our events our club photographer may take photos of our members for use in future publicity campaigns. We also do monthly spotlights of our members.

I do consent to photos of me being used

I do NOT consent to photos of me being used

I am interested, but require more information

I have read the Membership Information page and Club Rules. *

I understand the expectations of the level of membership I have applied for and I agree to follow the Club Rules upon my admission to Rudis Leather Society.

Yes

No