Name:
City of Residence: Location (State or Country):
Contact Email:
Phone number (optional):
Hair color: (Please select)BrownBlondRedBlackNoneOther Eye Color: (Please select)BlueBrownBlackGreenHazelGreyOther
Ethnic Origin: (Please select)WhiteAfrican-AmericanOrientalAsianHispanicNative AmericanIndianOther
HIV Status: Unknown/No Answer HIV+ HIV-
Body Type: (Please select)SwimmerMuscularMediumSmallTonedOther Body Hair: (Please select)SmoothShavedLight hairModerate hairHairy Facial Hair (choose all that apply):(Please select)Clean'StacheGoateeFull BeardSide Burns
Haircut Style: (Please select)BaldShavedBuzzedConservativeModerateLong
Cock Size (in inches): Cut?: Yes No
Body Markings/Piercings (please describe):