Apply

How are you applying? *

Single
Couple

Legal Name: *

First

Last

Partner's Legal Name: *

First

Last

Date of Birth *//

Members must be 21+

Partner's Date of Birth *//

Members must be 21+

DKA (Doing Kink As): *

Please list the name you'd prefer to be known as in the Covet space.

Partner DKA (Doing Kink As): *

Please list the name you'd prefer to be known as in the Covet space.

Email Address: *

Email

Confirm Email

Partner's Email Address: *

Email

Confirm Email

Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Any Medical Conditions/Concerns (including allergies): *

Please provide this information for both you and your partner if you are applying as a couple. Your information will be kept on a secure server for only a year after application date, if accepted. If rejected, your information will be discarded immediately.

Have you been professionally (by a mental health or medical practitioner) diagnosed with a mental health condition? *

Yes.
No.

Please note that this section is optional and your choice to decline to answer the following questions, or detailing your mental health information, will not be counted against you in this application process. Additionally, all of your health information is private and will not be shared with, or disclosed to, non-essential staff without your written consent in the form of a release of information form. Your right to privacy of your health information is protected by the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Have you and/or your partner been professionally (by a mental health or medical practitioner) diagnosed with a mental health condition? *

Yes.
No.

Please note that this section is optional and your choice to decline to answer the following questions, or detailing your mental health information, will not be counted against you in this application process. Additionally, all of your health information is private and will not be shared with, or disclosed to, non-essential staff without your written consent in the form of a release of information form. Your right to privacy of your health information is protected by the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

If you answered yes, and are willing to do so, please list your current mental health diagnoses: *

I agree to provide medical waivers for any Jaunts I plan to attend. *

Yes.
No.

If the answer is No, please do not go any further. This is your stop. Open communication and honesty, especially about everyone's individual health is necessary for membership. Thank you for your interest.

My partner and I agree to provide medical waivers for any Jaunts we plan to attend. *

Yes.
No.

If the answer is No, please do not go any further. This is your stop. Open communication and honesty, especially about everyone's individual health is necessary for membership. Thank you for your interest.

Headshot Photo: *

Click or drag a file to this area to upload.

Please provide an image of your face with no filters. Please do not block your face.

Partner Headshot Photo: *

Click or drag a file to this area to upload.

Please provide an image of your face with no filters. Please do not block your face.

Bodyshot Photo: *

Click or drag a file to this area to upload.

Partner Bodyshot Photo: *

Click or drag a file to this area to upload.

How would you prefer to meet? *

Zoom
FaceTime
Google Video Chat

How did you find us? *

Which role(s) do you identify with? *

i.e., Primal, Dominate, Rigger, submissive, Curious etc.

Which role(s) does your partner identify with? *

i.e., Primal, Dominate, Rigger, submissive, Curious etc.

Please choose the membership level you'd like to apply for: *

General
Tamaa

All members enter with General Membership, if you chose Tamaa, you'll receive additional information from us! Please complete Step 2.

STEP ONE

STEP TWO

copyright 2021. all rights reserved.

top