Applications will be accepted until March 31st, 2019. Heartland Person of
Leather Contestant Application Form
Please type or print your answers to the followings as complete as you can. Please e-mail a color or black/white
photograph of yourself.
Scene Name:
Full Legal Name (Confidential):
Mailing Address:
E-mail Address:
Phone Number:
Best Time to be reached:
Age: (must be over 18)
Gender:
Describe yourself:
In what clubs do you hold full or associate membership?
What offices or community service organization positions do you hold?
List current or previous Leather titles held:
What is your occupation?
What is your highest level of education?
College or University Attended?
Current Relationship Status:
Why do you want to become Heartland Person of Leather?
What is/are your favorite fetish(s)?
What three words best describe you?
Please email completed form and picture to Master Patrice @ MasterPatrice@PersonofLeather.com.
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