Path to Awesomeness

Hi, Im Kenzie!

PLEASE COMPLETE THIS FORM FOR SCREENING PURPOSES
How did you hear about me?
Name*

First NameLast Name
Forum Handles (If Applicable)
(i.e. ECCIE, OH2, PrivateDelights, Tryst, Twitter, & P411)
E-mail *
Phone Number

Area CodePhone Number
Preferred Method of Contact*

TextE-mailOther
Share your physical description (Weight, Height, Age, Ethnicity, Tattoos or Piercing)
City To Meet*
Preferred Date*

MonthDayYear
Date
Preferred Time

:HourMinutesAM/PM Option
Duration*
Reference 1
Reference 2
No References?

No problem! You may provide your employment info, social media link OR submit LinkedIn and a form of photo identification for alternative screening.

I understand the gravity of my request but my safety is as important as your discretion. Im here to make you smile and inspire greatness. Please remember, it's in my best interest for you to keep your job and family. *wink

I am well-reviewed companion with a history that's easy to prove so if you are not comfortable providing this info I will be UNABLE to set up a date with you.
Alternate Screening - Employment Information
Any Notes, Comments, or Requests
Should be Empty:

Hi, Im Kenzie!