racg form

Full Name: *

Stage Name: (if any)

Email: *

Confirm Email: *

Cell Number: *

City and State: *

Age: (Must be at least 18) *

Have you ever broadcasted on any network before? *

If Yes, Please State Your Previous Stage Name and network:

Enter your MySpace, Facebook, or Twitter page address.

Check all that apply: *

Solo

Female/Female (Lesbian Duo)

Male/Female (Couple)

Male/Male (Gay Duo)

Adult Modeling / Industry Experience: (if any)

Full Nude Body *

Up Close Face *

What is the kinkiest thing you've ever done?

By checking this box I agree that I am 18 years of age or older or of legal age in my community where I can perform in the nude as an adult web cam performer. ("I" and "my" refers to the person applying to become an adult web cam performer.)

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