Incoming Sub/Slave Application for Domina

1
Full Name:* This field is required.
First Name
Last Name
2
Your Age:* This field is required.
3
Your Location:* This field is required.
4
Best way to contact you:* This field is required.
5
How many years of experience do you have as a sub/slave? What are your expectations?* This field is required.What do you expect from me?
6
Available start date:* This field is required.
Date
Month
Day
Year
7
What is your current employment status?* This field is required.
Employed
Unemployed
Self-Employed
Student
8
What are your kinks/fetishes?* This field is required.
9
How much can you tribute and how frequently?* This field is required.
10
How much total control do you want over your daily life?* This field is required.
11
Why do you want to serve Domina Shay?* This field is required.
12
Send a clear picture with you and your government ID to ensure your authenticity for in person sessions with Domina Shay Luxxe
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