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.