Goddess Phoenix Noir's Submission Application

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.* This field is required.
I am over 18
I am under 18
2
What do I call you?
First Name
Last Name
3
Age* This field is required.
4
Where are you located?* This field is required.Where do you spend the most time?
5
I am primarily located in the DMV with frequent visits to NYC. Are you willing to travel to either location? * This field is required.
YESNO
6
Best way to reach you ?* This field is required.Your best phone contact
7
Email* This field is required.
example@example.com
8
Social mediaExample: PhoenixNoir7/Twitter
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.
10
Days that work best for you?* This field is required.Choose all that apply
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
11
Time of day that works best for you* This field is required.A General description. Choose all that apply
Mornings
Afternoons
Evenings
12
Do your prefer I wear a face mask during our session?* This field is required.
YESNO
13
Tell me about your kinksTraditional 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
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
15
Latex Allergy?* This field is required.Or any other allergy I should know about?
16
Pain Tolerance 1-10* This field is required.
17
Safe Word
18
Desired length of session?1hr is standard
19
Are you comfortable being recorded ?* This field is required.
Yes
Only with a mask
No
20
Employment Status
Employeed
Unemployeed
CEO/Owner
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?
Huge
Large
Normal
Small
Ok
Ok
22
Picture of yourself (Face and body preferred)
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
If you do not submit a picture I will ask for ID
Cancelof
23
Any questions, comments, or concerns for me?
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Large
Normal
Small
Ok
Ok
24
Please verify that you are human* This field is required.
Should be Empty: