APPLICATION /FETISH FORM

APPLICATION /FETISH FORM

return to me, Goddess KoCo Meow, promptly for consideration
What date are you requesting an audience with your Goddess? *

Day Month Year
Time requesting *

Hour Minutes

AM/PM Option
Duration requesting: *
Format in min: (ie 180min)
Name *

First Name Last Initial
Location City* State*
Age Number*
Marital Status ie. married, single, seperated, divorced*
Physical Description: *
Financial Status and Employment Industry: *
Sexual Orientation: *
MedicalConcerns/Physical Limitations : *
Phobias/Abuse Issues: *
Eyeglasses/Contacts? *

Glasses Contacts None
Can you be marked? *

Yes No
If so, for how long? *
Add "NA" if you answered No
How often do you wish to visit with me, Goddess KoCo? *

Weekly Bi-weekly Monthly Bi-annually
Which attire do you prefer to see me, ~Goddess KoCo~ adorned in? (Please choose all that apply). *

Latex dresses/skirts Patent Leather PVC/Vinyl pants/dresses/skirts Business attire/suits English riding apparel/boots Corsets/waist cinches Catsuit
What hosiery do you prefer to see me, ~Goddess KoCo~ adorned in? (Please choose all that apply). *

Cuban heel/seamed Fishnet Sheer black Nude pantyhose Black Knee-high Bare legs/none
What shoes do you prefer to see me, ~Goddess KoCo~ adorned in? (Please choose all that apply). *

Thigh-high boots Knee-high boots High-heeled pumps (closed toe) Peep-toe pumps or sandals (open toe) Platform heels Mules Goth boots Goth Platform shoes
What gloves do you prefer to see Me, ~Goddess KoCo~ adorned in? (Please choose all that apply). *

Latex (opera length) Leather (wrist length) Satin (opera length) Bare arms/none
In regard to My,~Goddess KoCo~, demeanor during the session: u the submissive, would prefer...(please choose all that apply) *

Indifferent/Detached/Cold Playful/Gentle/Fun Sadistic/Aggressive Imperious/Condescending/Critical Spoiled/Never satisfied
What best describes your reason for visiting Me? (please choose all that apply and delete the rest) *

Suffering to please your Goddess and amuse Her (with disregard to my desires) Exorcism of guilt: Sensation/Endorphin: Other(please describe below)
Describe if selected other above
What would best describe the scenario you are seeking? (please choose all that interest you and delete the rest) *

Schoolteacher/naughty boy Interrogator/prisoner Female pimp/man-whore Riding Mistress/ponyboy Blackmailer/financial slave Humiliatrix/small penis man Mommy/Little boy Other (please describe below)
Describe if selected other above
How long have you been involved in BDSM activities? *
Include measurement (i.e. 8 months or 5 years)
Do you have any other skills outside servitude that you can offer me? How will you please your Goddess other than Her required tribute? *
Do you have references from other Dommes (local, national or international)? *
Are you involved in any fetish/BDSM organizations? If so, which? *
ACTIVITIES I AM INTERESTED IN: (please choose all that apply) *

Bondage: Leather, Rope, Bondage tape, Saran wrap Method: Light, Inescapable, Extended, Mummification Corporal Punishment: Flogging, Whipping, Strapping, Spanking, Caning, Birching, Hairbrush Genital Torture: Whipping, Chastity, Kicking/Kneeing,Trampling, Stretching/Weights, Chastity, Light touch cigarette, Hot wax, tight bondage/tying, manual squeezing/vise, slapping Foot Worship: Stocking/Pantyhose, Shoe/Boot/Heel, Bare FeetMethod: Bootlicker, Toe Kisser, Masseuse, Footstool, Rug Humiliation Method: (please describe bleow) Domestic Service Training (must be available with 2-8 hours notice): Chambermaid, Chauffeur, Foot slave, Dungeon Slut (forced-bi fantasy) Shaving Genital area Shaving Body Smoking Fetish (Mistress smokes): Human Ashtray Service Puppy Training: Caging, dog food eating, leash training, costuming, verbal command training Pony Training (yes or no): Show pony, cart pony, riding pony Financial slave/Paypig/Blackmail Cuckolding/Key-Holding CB-3000/6000/The Curve Long or short duration training
Describe humiliation method if selected:
I love to entertain. Are you comfortable being in session/scene/party/event with others?

Dominant participants Submissive participants Photographers/Videographers None
Confidentiality

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APPLICATION /FETISH FORM

Confidentiality