Mr. ATLAS Leather 2019 Contestant Submission Form
Email address *
Full legal name *
Stage name (if different from name above)
Date of birth *
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Your city, state *
Mobile phone number *
Link to Facebook profile
Instagram profile name
Why do you want to be Mr. Atlas Leather 2019 and what would make you a great titleholder? *
Please summarize any current or past involvement in the leather/kink/BDSM community. Can include events/parties you like to attend, bars you frequent. *
Do you currently hold or have you ever held any leather titles? *
Are you available to travel to Chicago for the International Mr. Leather contest May 23-27, 2019? *
Is there anything else we should know about you?
Please upload at least three (3) and up to five (5) images of yourself you feel are relevant to this contest. *
Required
Electronic Signature
Please read the media release form and type your name in the box below to sign.
I, the undersigned, hereby authorize Mr. Atlas Leather to photograph me, take motion pictures of me, take video footage of me, and/or make electronic sound recordings of me (herein referred to as photographic or electronic reproductions). I authorize the use of any such photographic or electronic reproductions of me for any purpose, including, but not limited to promotional and other public media as may be deemed appropriate by Mr. Atlas Leather. I also authorize Mr. Atlas to use existing images of me submitted through this form and which are available on social media for promotional purposes. *
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