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First Name
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Last Name
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Street Address
Address Line 2
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City
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State/Province/Region
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Zip/Postal Code
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Phone Number
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Country
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Email Address
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Stage Name / Alias
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Ethnic Backround
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Sex
Male
Female
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Height
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Weight
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Sexual Orientation
Straight
Bisexual
Lesbian
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Are you willing to pose nude for photography?
Yes
No
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Have you done adult videos before? Amateur or Pro
Amateur - Yes
Pro - Yes
No
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Do you have any Tattoo's or other body modifications?
Yes
No
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Please describe the types of tattoos, how many and body modifications. If None put N/A
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Sexual Acts you are willing to do on film
Solo
Toys
BDSM
Boy/Girl
Girl/Girl
Boy/Boy/Girl
Boy/Girl/Girl
Gang Bang
Cream Pie
Blow Job
Swallow
Anal
ATM
DP
Interracial
Hand Job
Condom Only
BareBack ( No Condoms - Must be Tested )
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Aim Tested? *
aim-med.org
Yes
No
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How Old Is Your Test
Less than 30 days
Less than 60 days
Less than 90 days
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