Form

Submissive Application

Are you worthy of My grace?
I aim to find submissives that fulfill and enrich My life. I prefer long term connections over one-time meetings. Whilst looking for the best submissives. Trust, respect and consent are key words for a good start for any applicants to have in mind.

Please fill out the following details with as much information about yourself so I can understand if you are right for Me. All applications will be carefully read and answered within a week.
Name:*

First NameLast Name
Email:*
example@example.com
Phone Number:*
Please enter a valid phone number.
Age:*
Are you on social media? If yes, type your username:
Possible Appointment Date:*

MonthDayYear
Date
Secondary Possible Appointment Date:

MonthDayYear
Date
Duration of Session:*
BDSM Experience:*
References: (Please enter at least 2 previous providers you have served in the past, including their website, email and social media. If this is your first session a video screening will be required).*
Why do you wish to serve Me? Why would you make a good sub for Me?*
What better describes you?*

SubSlaveSlutMasochistFetishistSissyPetOther
Interests:*

Corporal PunishmentFloggingCroppingPaddlingFace SlappingOTKCBTBondageGaggingNTSissificationHumiliationCuckoldTease and DenialErotic HypnosisHuman AshtrayElectric PlayWax PlayBreath PlayMedical PlaySoundingOther
Describe some of your best experiences:*
What are your hard limits? What about soft limits that you wish to push?*
Any health issues or physical limitations?*
Headshot:

A headshot of yourself
Cancelof
Informed Consent and Acknowledgment

I hereby give Lady Sarah Moon consent to contact me using my provided information. I acknowledge to discussing NSFW topics and agreed to apply with the sole purpose of serving Lady Sarah Moon to the best of my abilities. I understand that if I breach any D/s contract between myself and Lady Sarah Moon I will be blocked. I understand that this is a serious role and have only applied for it because I am serious about it. I promise to have excellent communication with Lady Sarah Moon and will always keep Her informed of any issues may ever happen.
Should be Empty:

Submissive Application