To
be granted access, you MUST submit ALL of the below information
legibly to Hers Night Club by phone, mail, email or at the
door. Failure to do so and/or failure to provide accurate information
will prevent your admission.
Select
One
Single Female
HIS Name
HIS
E-mail
HER Name
HER
E-mail
Address
APT
City
Prov/State
Postal/Zip
Disclaimer Hers Night Club is an onsite swinger's club
(the "club").
The club does not screen it's guests. Various degrees of sexual activity
may take place onsite. The club, it's employees, officers, directors,
shareholders and agents are not responsible for consequences of any
sexual act. By remaining on the premises of Hers Night Club, you hereby
waive and release the Club, it's employees officers, directors, shareholders,
and agents from any liability resulting directly or indirectly, in
full or in any part, from any sexual activity that may occur on the
premises. Please acknowledge your agreement with the above and your
familiarity and agreement to abide by the posted rules.
HIS Signature X __________________________________________________________________
HER Signature X __________________________________________________________________
*Management reserves the right to refuse anyone from entering the club
based on overall appearance and demeanor.