your surrender experience starts below
Name (as shown on your ID) Anonymity is the absolute UTMOST important Me. All information shared is completely private
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First Name
Last Name
What name would you like to be called? Example: initials, numbers, or made up name you feel connected to
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Email
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example@example.com
Best contact number
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Please enter a valid phone number.
No calls or texts will be made unless we have confirmed VIA email first
Age
*
How did you find Me?
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Please Select
Eros
TRYST
Chi Temple
Instagram
Recommendation
What days are you most likely available?
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Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Sundays
All of the above - I'm flexible and eager to serve.
Select your ideal time frame
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Daytime (11 PM - 5 PM)
Evening (5 PM - 10 PM)
Whenever Mistress desires, I'm flexible and eager to serve.
Location preference
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Arts District, DTLA
San Fernando Valley
I'm flexible and eager to serve.
I am not limited to these locations but do consider these Dungeons My "home".
Have you seen a Professional Dominatrix before?
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yes
no
List any verifiable references: email, IG, twitter, or their website. Add a short sentence about your experience with them.
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"N/A" is acceptable if you have not seen a Pro Domme before.
Tell Me a little about your interests and curiosities.
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Kinks, fetishes, and fantasies.
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Hard limits
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Physical limitations
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What topics/themes get you most excited?
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What was your best session experience? Why?
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"N/A" is acceptable
What was your worst session experience? Why?
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"N/A" is acceptable
How do you want to feel during our time together?
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How do you want to feel after our time together?
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Terms and Agreements
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Domination does not involve sex or any unlawful acts
I will provide a negative COVID test result 24 hours before our session
I am responsible to ask Mistress for clarity if there is confusion on my end about booking, deposit, session, and cancellations.
Surrender
Should be Empty: