Treasure Island Media Model Application

* Indicates a required field (enter 'n/a' or 'none' if does not apply). All information will be kept confidential.

Name and contact information

Your first & last name *
Email address *
Main phone number (area code first) *
Be discreet?

Yes No
Street address
City *
State/province *
Postal code
Country *

Physique

Date of birth (mm/dd/year) *
Cock size
Cut/uncut
Height (in feet & inches)
Weight (in pounds)
Hair color/style
Eye color
Body type
I identify as

Health

Do you perform bareback?

Yes No
Are you on PrEP (Truvada)?

Yes No
HIV status *
Last Test Date (if neg) *
Hepatitis *
Last test date (if neg) *
Do you have any current health problems or STDs? *
Are you taking any prescription medication? *
Do you use recreational drugs? If so, please indicate type and frequency *

Which male enhancers do you use?

Viagra	Cialis
Tri-Mix	Caverjet

Are you comfortable engaging in sex acts with partners who may have a different HIV status than yourself?

Anal sex

yes no
Oral sex

yes no

Please indicate your preference for the following:

Interests

Overall I'd consider myself:
What type of person do you go for?
What turns you off in a partner?
Tell us about one of your fantasies:
Tell us about your special sexual talent(s):

What sex toys do you use?

Cock rings	Bondage eqp.	Cock pumps
Dildos	Slings	Electro-stim
Butt plugs/beads	Nipple clamps	Catheters/sounds

Other sex toys

Other

What is your availability?
Please list all stage names used since 5/26/1992: *
Prior porn modeling or escort work: *
Is there anything else you'd like to tell us?
How did you hear about us?

Upload photos *

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