Online Screening Questionaire for Couples

Applying as: Couple •click here to apply as a single
State of Residence:    
Phone Number:  
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Level of Experience:      
General Agreement: In order to be considered for Bluegrass Secrets (BGS) membership, we ask that you indicate your agreement or disagreement with each of the following statements:

We are both at least twenty-one (21) years of age:
We are a married couple:
We are a couple in the lifestyle only and not married to either one another or to anyone else:
NOTE: Individuals who are married to persons other than their co-applicants must explain their circumstances in separate statements in order to be considered for membership.
Explain your understanding of an "On-Premise" club:   
I recognize and accept that BGS is a private social club for discreet adult couples and select singles committed to sexually oriented alternative lifestyles & that BGS is an “On-Premise” Club. I am are neither offended by nor uncomfortable with the actives that take place in an “On-Premise” Club & if selected to be members of BGS, we will accept and agree under all circumstances to abide by the club’s rule that ’No’ always means ‘NO,’ which applies to everyone.
NOTE: BGS reserves the right to perform background checks for sexual misconduct and to refuse or terminate membership based on its findings in this regard.
If you are accepted for membership in BGS, you will be asked to sign this questionnaire confirming the information you have provided. The signed copy will become a part of your application for membership and membership file.