Form cover
Page 1 of 1

Privat membership review

▪ Submission does not guarantee acceptance.
▪ All applications are reviewed manually.
▪ A non-refundable application fee is required before review. Payments are anonymous.
Identity & Contact

Name

Preferred name

Email

Country of residence

Age

Intent & Understanding

Why are you applying for access to this private environment?

What do you believe this space offers that you cannot find elsewhere?

How did you first hear about SILHOUETTE?

Discretion & Boundaries

This is a private, invitation-only environment built on discretion. Do you understand and accept that confidentiality is mandatory?

This is a private, invitation-only environment built on discretion. Do you understand and accept that confidentiality is mandatory?

Have you ever violated confidentiality, privacy, or consent in a private or professional context?

Have you ever violated confidentiality, privacy, or consent in a private or professional context?

Please explain

Health & Responsibility

Do you currently have, or have you recently had, any sexually transmitted infections (STIs/STDs)?

Do you currently have, or have you recently had, any sexually transmitted infections (STIs/STDs)?

If yes, please specify and indicate whether you are receiving treatment (optional)

Are you willing to provide recent test results if requested at a later stage?

Are you willing to provide recent test results if requested at a later stage?

Do you take personal responsibility for your physical and sexual health?

Do you take personal responsibility for your physical and sexual health?
Conduct & Matority

How do you handle rejection or boundaries set by others?

Describe a situation where discretion and restraint were required, and how you handled it.

Logistics & Availability

Are you able and willing to travel within Europe if required?

Are you able and willing to travel within Europe if required?

Do you understand that participation may require discretion, flexibility, and travel on short notice?

Do you understand that participation may require discretion, flexibility, and travel on short notice?

Briefly describe your current professional position and level of responsibility.

Which best describes your current lifestyle?

Which best describes your current lifestyle?

Is there anything about your financial situation that would make a private membership fee problematic ($2,500)?

Final Declaration

By submitting this application, you confirm that all information provided is truthful and accurate.

By submitting this application, you confirm that all information provided is truthful and accurate.

Anything else you believe is relevant for the review process?

Payment required before submission
1. Click “Pay application fee” link
2. Complete payment
3. Copy your transaction ID (TXID)
4. Paste it below to unlock submission

Pay application fee (anonymous)

Bitcoin TXID