Member Information form

Disclaimer
CLUB RELEASE
This Months Party
Member Info form
Club Photos
Contact Us Here
Site Links
Hotels

Please fill this form out ONLY if you have never been to a party held by Club Release.

 All information is kept private and confidential

(Single Men ONLY) After filling out the member info form below and sending, please email TheClubRelease@aol.com with your name and a "G" rated picture of yourself.

Please click here if you have never been to the building where we hold our parties.
Contact information:
COUPLE
SINGLE FEMALE
SINGLE GENTLEMAN
CHECK IF YOU WOULD LIKE TO GET PARTY INVITES.
 
 His first and last name :

 Her first and last name:

 * required
Email Address we can reply to
 * required
Phone Number:
 * required

City,State,Zip


SINGLE MEN:Please tell us a little about yourself and your experience in the Lifestyle
 
 * required
CLUB RULES
Rules:
By completing and sending this form you agree to all the rules and conditions set by Club Release.