Goddess Phoenix Noir's Submission App
You are not worthy to serve me...but here's your opportunity to try
Name?
What should I call you?
Age?
Location
I am located primarily in the DMV. Are you willing to travel?
Best email contact
Phone/Email
Social Media?
What days work for you? Choose all that apply
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What time works best ? Choose all that apply
Morning
Afternoon
Evening
Kinks/Fetishes? Choose all that apply.
Ass Worship
Bondage
CBT
Chasity
Cashmeet
Dinner Dates
Double Domme
Electric Play
Foot Worship
Futa
Golden Shower/Toilet Play
Human Furniture
Pegging
Public Humiliation
Sissy Play
Spanking
Public Humiliation
Tease and Denial
Other
Do you have/prefer your own toys?
Yes
No
Allergies? If yes, then what are they?
Pain Tolerance? 1-10
How long would you like to play?
Minimum one hour
Are you prepared to tribute?
Any previous experience with Dommes/Submission?
Are you ok with being recorded ?
Yes
No
With mask only
Questions for me?
Submit
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform