*(denotes required field)

Section 1 - Personal / Contact Information

Full Legal Name *

Stage Name *

City *

State or Province *

Country *

Date of Birth *

Telephone / Text # *

Email Address *

Re-type Email Address *

Do you have a valid unexpired Passport? *

Please Select Yes No

Do you have a valid unexpired Driver's License? *

Please Select Yes No

Do you have any other Gov't Issued valid unexpired identification? *

Please Select Yes No

How did you find our site? *

Please Select Current Member Previous Member Blog Magazine Ad Surfing the Net Model Referral VOD Site Ricky Raunch DVD Dirty Dawg DVD's

Section 2 - Body Information

Height *

Please Select 5'3" 5'4" 5'5" 5'6" 5'7" 5'8" 5'9" 5'10" 5'11" 6'0" 6'1" 6'2" 6'3" 6'4" or Taller

Weight *

Please Select 140 lbs 150 lbs 160 lbs 170 lbs 180 lbs 190 lbs 200 lbs 210 lbs 220 lbs 230 lbs 240 lbs 250 lbs 250+ lbs

Body Type *

Please Select Athletic and Fit Muscular and Toned Bodybuilder Beefy Average

How would you describe yourself? *

Please Select Jock Daddy Bear Cub Twink None of the above

I Identify myself as *

Please Select Caucasian African American Latin American Mixed Race Native American Asian American Other

Cock Size Length *

Please Select 5" 5.5" 6" 6.5" 7" 7.5" 8" 8.5" 9" 9.5" 10" 10+"

Cock Size Thickness *

Please Select 2" 3" 4" 5" 6"

Cut or Uncut *

Please Select Cut Uncut

Tattoos *

Please Select Yes No

Piercings *

Please Select Yes No

Hair Color *

Please Select Black Brown Blonde Red or Ginger Silver Salt & Pepper Other

Hair Style *

Please Select Full Head Buzz Cut Partially Bald Fully Bald Shaved or Smooth Other

Eye Color *

Please Select Blue Green Brown Hazel Other

Do you have any current health problems or STD's? (Please explain)

Are you taking any medications that prevents you from maintaining a Hard-On or your ability to Cum? (Please explain)

Which method of Male Enhancers do you use? *

Please Select Viagra Cialis Tri-Mix Caverject Herbal None - Don't need it

Section 3 - Sexual Information

Preferred Position *

Please Select Top Only Bottom Only Versatile Either Versatile Top Versatile Bottom No Preference

Current HIV Status *

Please Select Negative Positive Unknown

Will you have Bareback Sex with *

Please Select Positive Only Negative Only Either Positive or Negative Needs Further Discussion

Do you enjoy 1 on 1 sex *

Please Select Yes No

Do you enjoy Threesomes *

Please Select Yes No

Do you enjoy group sex *

Please Select Yes No

Do you enjoy rimming *

Please Select I enjoy rimming I enjoy being rimmed I enjoy either I don't do either

Do you enjoy cum play *

Please Select I love eating cum I love sharing and swapping cum I love cum snowballs I don't enjoy any cum play

Section 4 - Additional Information

What is your Twitter name - Twitter ID

What is the best way to contact you *

Please Select Telephone Email Text

I have performed in Porn before *

Please Select Yes No

I have my own website *

Please Select Yes No

I can be double fucked (DP) *

Please Select Yes No

I can suck myself *

Please Select Yes No

I can give myself a cum facial *

Please Select Yes No

I can have sex outdoors / public *

Please Select Yes No

I have a webcam *

Please Select Yes No

I use Yahoo IM *

Please Select Yes No

I use MSN IM *

Please Select Yes No

I use Skype IM

Please Select Yes No

I use AOL IM

Please Select Yes No

WhatsApp Installed *

Please Select Yes No

How flexible is your time? (Please describe)

How much notice do you need should travel be involved? (Please describe)

What is your availability? (Please describe)

Section 5 - Photos

Send me 5 clear photos that show your hot body, cock , ass and face. If your photos are professional please submit 2-3 that are taken with your smart phone or regular camera.

Photo 1 *

Acceptable file types: doc,pdf,txt,gif,jpg,jpeg,png.
Maximum file size: 1mb.

Photo 2 *

Photo 3 *

Photo 4 *

Photo 5 *

Section 6 - Comments

Any Comments?

DISCLAIMER

By submitting this application you hereby certify that:
• You are over 18 years of age.
• You certify that the information submitted above is true and correct, and that you are the copyright holder of the submitted photos.
• You are not a member of any organization, government body, or law enforcement agency which would use this submission for entrapment or prosecution of the site developer, its host, internet service provider, or any person, company, organization, or entity whatsoever.
• You hold barebackthathole and its Partners and the company's provider or hosting company harmless of any liability whatsoever.

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