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Submission Application
Ready to see if you have what it takes to session with me in real time?
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1
You must be 18 years or older to participate in a real time session with me. Do not lie about your age, I am not an idiot.
*
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I am over 18
I am under 18
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2
What do I call you?
First Name
Last Name
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3
Age
*
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4
Where are you located?
*
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Where do you spend the most time?
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5
I am primarily located in the DMV with frequent visits to NYC. Are you willing to travel to either location?
*
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YES
NO
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6
Best way to reach you ?
*
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Your best phone contact
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7
Email
*
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example@example.com
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8
Social media
Example: PhoenixNoir7/Twitter
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9
Preferred Booking Date
This is not a booking confirmation, that can only be done once a deposit is sent. If you have a preferred date and time you may fill this section out. If not, you may skip this section.
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10
Days that work best for you?
*
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Choose all that apply
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
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11
Time of day that works best for you
*
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A General description. Choose all that apply
Mornings
Afternoons
Evenings
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12
Do your prefer I wear a face mask during our session?
*
This field is required.
YES
NO
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13
Tell me about your kinks
Traditional and Oral sex are not option! Choose all that apply. Understand your tribute will be contingent upon what you choose.
Pegging
Futa
CBT
Impact Play
Tease and Denial
Electric Play
Bondage
Ass Worship
Sissy Play/Cross Dressing
G Showers/Toilet Play
Domestic/Long term servitude
Cash meets (Public)
Double/Group Domme sessions
Dinner dates/Outings
Skype/virtual sessions
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14
Do you have your own toys you'd like to session with?
Yes! I have plenty and only want to use those.
Yes I have my own but am open to also using yours
No, I don't have any
Yes! I have plenty and only want to use those.
Yes I have my own but am open to also using yours
No, I don't have any
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15
Latex Allergy?
*
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Or any other allergy I should know about?
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16
Pain Tolerance 1-10
*
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17
Safe Word
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18
Desired length of session?
1hr is standard
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19
Are you comfortable being recorded ?
*
This field is required.
Yes
Only with a mask
No
Yes
Only with a mask
No
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20
Employment Status
Employeed
Unemployeed
CEO/Owner
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21
Experience with other Dommes
*
This field is required.
Tell about your times with other dommes. What you enjoyed, what you didn't enjoy. If you have no previous experience tell me your expectations for the session. Your apprehensions, what you're looking forward to the most?
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22
Picture of yourself (Face and body preferred)
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
If you do not submit a picture I will ask for ID
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23
Any questions, comments, or concerns for me?
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24
Please verify that you are human
*
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