Apply to Serve

Full Name*

Preferred name*

Pronouns*

Email*

Phone Number*

For reference only. I will not contact you by phone without permission.

Occupation*

Desired length of session*

A 30-minute phone consultation is required for all first time clients in order to book a session.

Desired date? Please provide at least three dates & times.*

What do you identify as?*

What is your experience level with BDSM? Have you seen a Pro Domme before?*

Why do you want to serve me? What exactly drew you to me?*

What specific activity, kinks, and/or fantasies would you like to explore together?*

Describe how you would like to feel during our session (e.g., humiliated, protected, small, cherished, useful, degraded, loved, overwhelmed).*

What are your hard and soft limits?*

Are markings ok?*

Are there any medical conditions that I should be aware of (e.g., latex allergy, history of heart attack or stroke, back pain, HIV)?*

Upload a photo of you holding your identification card next to your face. *

You may redact your DL/ID number only. Screening is mandatory, to ensure my safety. All personal information provided will remain confidential and will only be used for screening purposes.

I may require additional verification.

References: Please list the names, emails, websites, and social media accounts of two providers (e.g., Pro Dommes, Escorts) you’ve seen in the last two years.*

If you have never sessioned with another provider before, you may write ‘N/A.’

Do you consent to being photographed or filmed?*

YesNo

Your face will be obscured in all media. Selecting ‘no’ will not negatively affect your application.

Are you vaccinated against COVID-19?*

YesNo

How did you find me?

Is there anything else you would like to add?