Email: clubcuriosity.staff@safeoffice.com Twitter Instagram CLUB CURIOSITY CLUB Request Form(If a couple please complete separately) (no title) Spam protection, skip this field First Name (no alias)* Last Name (no alias)* Email Address* (No ProtonMail or SafeOffice Allowed) Mobile Number* Resident City and State* Gender* M F TG Age* 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 Ethnicity* Detailed Physical Description* Preferred 411 Link* RS – AVS Link* Facebook Link* LinkedIn Link* Twitter Link* Event City Attending Which Curiosity Guide/s Have You Met?* Reference #1 Link* Reference #2 Link* Company* Position* Work number & extension* Phone etiquette or cover story to use when calling*