Form

your surrender experience starts below
Name (as shown on your ID) Anonymity is the absolute UTMOST important Me. All information shared is completely private *

First NameLast Name
What name would you like to be called? Example: initials, numbers, or made up name you feel connected to *
Email*
example@example.com
Best contact number*
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?*
What days are you most likely available?*

MondaysTuesdaysWednesdaysThursdaysFridaysSaturdaysSundaysAll of the above - I'm flexible and eager to serve.
Select your ideal time frame*

Daytime (11 PM - 5 PM)Evening (5 PM - 10 PM)Whenever Mistress desires, I'm flexible and eager to serve.
Location preference*

Arts District, DTLASan Fernando ValleyI'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?*

yesno
List any verifiable references: email, IG, twitter, or their website. Add a short sentence about your experience with them.*
"N/A" is acceptable if you have not seen a Pro Domme before.
Tell Me a little about your interests and curiosities. *
Kinks, fetishes, and fantasies.*
Hard limits*
Physical limitations *
What topics/themes get you most excited?*
What was your best session experience? Why? *
"N/A" is acceptable
What was your worst session experience? Why?*
"N/A" is acceptable
How do you want to feel during our time together?*
How do you want to feel after our time together?*
Terms and Agreements*

Domination does not involve sex or any unlawful actsI will provide a negative COVID test result 24 hours before our sessionI am responsible to ask Mistress for clarity if there is confusion on my end about booking, deposit, session, and cancellations.
Should be Empty:

your surrender experience starts below

No calls or texts will be made unless we have confirmed VIA email first