Screening Form
I must verify all new friends before we can meet. I require your full legal name as on your drivers license. If you have a preferred name outside of your government name please list in the about you section.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
No VOIP numbers
Resident City & State
*
Age
*
What is your Preferred method of contact
*
Email
Phone
Text
No Preference
Preferred Contact number if different from above (i.e Hobby number)
Please enter a valid phone number.
Preferred City & State of Appointment
*
Preferred Date
*
Preferred Time
Alternate Date & Time
Second Appointment time choice
Preferred Duration
*
Length of Appointment
Appointment Length
*
1 Hour
90 Mins
2 Hours
3 Hours
4 Hours
Lunch Date
Dinner Date
Off the Clock
Overnight
Appointment Location
*
Incall - You come to me
Outcall - I come to you
Outcall Location Address
Preferred Type
*
Temporary Girlfriend
Kings Massage
Nuru
Nuru Plus
Milking Table
The Ultimate Milking
Kings Milking
Dinner/ Lunch Date
Overnight
Sensual Wrestling
Kink
The Seductive Touch
Employment Information
Please provide employment details below for screening purposes.
Company Name
*
Your Position/ Title
*
Company Website
Main Company Phone Number
Please enter a valid phone number.
LinkedIn Link : Please include full link
ID Photo / Self portrait
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Phone etiquette or cover story to use when calling?
Online Presense
Not required but helpful
Facebook Link: Please include the full link
Board Handles
Verification Services: P411/ RS-Avs
Companion References:
References do not supersede employment information.
Twitter / Instagram Handle
About You
Tell me a little about yourself? I enjoy a thoughtful introduction so that we can make a connection before meeting.
*
I have read and agreed to the cancellation policy
*
No
Yes
Submit
Should be Empty: