Screening
I ask for information only to ensure my safety and peace of mind. Please respect that by meeting each other, I am putting myself in a vulnerable situation. Mutual happiness and confidentiality are my top priorities.
Legal Full Name
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first name and last name as listed on your ID
Your pronouns and preferred name
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What is your sexual orientation and how do you identify
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How did you first find me?
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Online ad, social media profile, video clip, etc
E-mail
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Phone Number
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Best method of contact
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email
text
I require photo ID to verify your age and safety before meeting anyone for the first time. You agree and are willing to send ID for confidential screening purposes
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Yes no problem
Not willing to
I will contact you for this picture after receiving this form and if I think we are compatible, or send to apricotjuices@gmail.com
Have you been vaccinated for COVID-19?
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Yes, I am two weeks post final dose.
Yes, but still waiting for full efficacy.
No I;m not.
Not being vaccinated does not prevent me from being able to see you, so please answer truthfully.
Appointment Details
Type of appointment
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Sanctuary LAX - in call only.
Outcall to your home or hotel room.
In call to hotel of my preference.
Preferred Location(s):
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Long Beach, CA
Los Angeles, CA
Las Vegas, NV
Dallas, TX
Houston, TX
Philadelphia, PA
New York City, NY
Washington DC
These are a handful of the cities I travel to the most frequently, but I'm always willing to discuss FMTY w respectful clients.
Location if not listed above
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Street Address
Street Address Line 2
City
State
Postal / Zip Code
Desired date(s) and time frame:
List of interests, fetishes, and activities you'd like to engage in.
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I will contact you for proof if not provided here.
Do you have any chronic health issues or recent medical concerns?
Please be honest here so I can be prepared to accommodate any needs you may have.
Additional Details
All appointments require a $50 donation to confirm the booking. This deposit is non-refundable UNLESS I cancel the session and it is deduced from your total donation cost.
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Yes, I understand.
No, I'm not ok w that
Deposit Payments accepted here
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USD
Minimum $50 deposit required
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