top of page

Home
About Us
Membership
Agenda
Services
More

Use tab to navigate through the menu items.

Membership Application

This form is designed to gather essential information about prospective member background, availability and familiarity with community standards.

All submissions are reviewed with discretion.

PROFILE

First name*

Last name*

Email*

Birthday*

Month

Day

Year

Gender *

Male

Female

ZIP Code*

REFERRAL AND ACCESS

How did you hear about us?*

Invited by:*

Invite Code:*

APPLICATION DETAILS

How many are joining?*

Single

Couple

Group

Are all applicants aware and consenting to this application?*

Yes

AVAILABILITY AND PARTICIPATION

What are you interested in?*

Private Events

Social Meetups

Online Community

Typical Availability*

Weekday mornings

Weekday evening

Weekend mornings

Weekend evenings

Preferred types of events*

Social meetups (no play)

Private or intimate gatherings

Larger themed parties

One-on-one connections

Open to anything

Are you open to hosting private gatherings?*

Yes

EXPERIENCE LEVEL

Are you experienced in the lifestyle, or are you a newcomer?*

Experienced

Newcomer

What types of events have you attended before?*

Club Events

Private Parties

Online-only

Other

LEGAL AGREEMENTS & ACKNOWLEDGMENT

I understand that while Club Elysia takes reasonable steps to protect my information, confidentiality cannot be fully guaranteed in any social environment. I agree to respect the privacy, consent, and boundaries of all members and participants.*

I understand.

I confirm that I am of legal age in my jurisdiction and have read and agree to the Legal Notice, Terms of Service, and Privacy Policy of Club Elysia.

I confirm.

bottom of page