Application to Compete

Please read through the rules & regulations section on the

contestants page before applying.

Which Title Are You Competing For? *

Competitors may only compete for one title at a time. Pick one.

Intergalactic Ethical Sadist

Intergalactic Power Bottom

Intergalactic HardCore Switch

Legal Name *

Legal Name

First Name

Last Name

Date of Birth *

Date of Birth

YYYY

Scene or Stage Name (if different from above)

First Name

Last Name

Email Address *

Phone

(###)

###

####

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Medical or other accommodations needed:

Are you now or have you ever been employed as Law Enforcement (police, corrections, federal agency, etc)? *

Yes

Do you consent to a criminal background check of your legal name for the sole purpose of determining eligibility to compete in Northwest Gay for Play Weekend. *

Yes, I consent.

No, I decline.

Previous Titles Held:

Club Memberships or Affiliations:

Community Activities:

Hanky Colors (mark left or right):

Leather/Fetish/Kink/BDSM Interests:

Your Public Bio (to be used in the contest website and program): *

Personal Ad (read onstage as your introduction to the audience and judges): *

By checking this box, I agree to comply with all the rules and regulations set by Boots and Bonfire Productions LLc., and the management of the facilities where the events are held. I certify that all information I have provided on this form is accurate. I certify that I am 21 years of age or older at start of weekend and meet all of the qualifications specified in the attached “Contestant Qualifications” statement. I understand that if I win the contest, I will be required to fulfill the duties of my title as established by the sponsors.

Agree