Member Application - Devious Dragonfly

Membership Application

A Membership is required to attend Events.

Please fill out the online membership application.

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

* Do NOT use @hotmail.com or any Microsoft email addresses, they block our automated emails. *

Membership Type

Member Info

First *

Last *

Gender *

Male

Female

Date Of Birth *

Second Person

First *

Last *

Gender *

Male

Female

Date Of Birth *

Contact Info

Email * (Do NOT use @hotmail.com)

Confirm Email *

Referral / Sponsor

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

Name of Current Member

Photo *

A recent photo of you or BOTH if a couple, 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:

Kasidie

SwingLifeStyle

SDC

MeWe

DDN

Other Site

ID on Other Site

Acknowledgment

I have read the Terms & Conditions and I agree to them.