Are You Ready To Play?

Name* This field is required.

First Name

Last

LocationWhat state/country to you live in?

Birthdate * This field is required.(MM/DD/YYYY)

Sex Assigned At Birth* This field is required.

Female

Male

Other

Sexual Orientation* This field is required.Click all that apply

Asexual

heterosexual

Gay /Lesbian/Same-Gender Loving

pansexual

Bisexual

Phone Number* This field is required.This phone number will be used for confirmation of scheduled sessions the day before or the day of our meet. If you'd like to include a no-contact number for screening ONLY, please do so below.

Area Code

Phone Number

Email* This field is required.This email address will be used for initial response and communication during the screening and booking process.

example@example.com

Other Methods Of Contact ?Example( Kik, Snapchat, WhatsApp, Skype, Zoom, Fetlife, & ETC)

If not applicable. Enter N/A

What Makes You Worthy Of My Time?* This field is required.Tell me about yourself: talents, interest, hobbies, relationship status, body type, height, weight, drinker, smoker, etc ( the more details the better)

Do You Want To A Sign A NDA? (Non-Disclosure Agreement)* This field is required.

YESNO

BDSM Orientation* This field is required.Click all that apply

Slave

Sissy

Switch

Slut

Subbmissive

Masochist

Babyboy/girl

Fetishist

Kinkster

Pet

Vanilla

Primal

Ponyboy/girl

ATM Pig

What Type Of Session Are You Interested In?* This field is required.

Online In person

BDSM / Fetish Interests* This field is required.*Please check the boxes that correspond with your personal kinks and interests. You do not need to have experience with any of the following to select.

Armpit Fetish

Anal Play

Age Play

Body Worship

Bondage

Biting

Blindfolds

Boot Worship

Ball Busting

Breath Play

Cuckolding

Chastity

CrossDressing

Cock and Ball Torture

Cash Meets

Degradation

Domestic Service

Fur Fetish

Fisting

Female Supremacy

Financial Domination

Foot Fetish

Flogging

Face Slapping

Face Sitting

Gags

Heel Worship

Humiliation

Hair Pulling

Interrogation / Captive Torture

Leather Fetish

Latex Fetish

Mommy Play

Mummification

Orgasm Control / Denial

Panty Fetish

Pantyhose

Pet Play

Pegging

Role Play

Spandex / Yoga Pants Fetish

Sensation Play

Smoking Fetish

Sissy Play

Spit

Scratching

Spanking

Task List

Watersports

Wax Play

**Other.

How Much Time Are You Interested In Serving Me?* This field is required.

Do You Have Any Limits?* This field is required.Anything your NOT willing to try and/or do?

example no ass play, no spanking, no Watersport , no drawing of blood

Are Temporary Markings on Your Body Okay?* This field is required.Light Scratches, Bruises, Hickeys, ect?

What Type Of Aftercare Needs Do You Have?* This field is required.Cuddle, Blanket, Specific Food, Validation, ect.

Any Mental or Physical Health Conditions That Could Effect Our Sessions ?* This field is required.(Hemophilia, Allergies, Epilepsy, Diabetic, Irregular Blood-Pressure, Asthma, Bad Knees, PTSD, Anxiety Attacks, ect.)

If not applicable. Enter N/A

Do You Wholly Agree To Submit Your Mind, Body, Emotions And Your Entire Being To Goddess Dior?* This field is required.

YESNO