Application to Surrender

Surrender

to Mistress Alice Lynch
Your Name

FirstLast
Email
Phone Number
Age
Occupation
Desired Session Length
How did you discover me?
Be specific. "Online" is not an acceptable answer.
Personal Introduction
Describe yourself to me. What are some of your hobbies & interests? Tell me an interesting fact about yourself. What are your favorite bands/musicians, books, tv shows, movies? Describe your appearance. Do you like to travel? If so, tell me about a memorable trip. This is one of the most important sections on this form. This is your main opportunity to catch my eye and present yourself as someone I might allow into my world.
Which submissive roles do you identify with?
Examples: submissive, bottom, slave, masochist, sissy, it/object, simply a fetishist.
Why do you wish to serve me?
There are no wrong answers.
Experience
Tell me about your previous BDSM experiences. Have you seen a ProDomme before? Have you been to a fetish party or done any cam sessions? Have you done any self-play? If you've had a bad experience during play, please detail what made it less than enjoyable for you.
Session Desires
*This is the most important section on this form* Use this space to explain in detail which areas of BDSM you are interesting in exploring. If you are brief or skimp on your answer I will have no way of knowing if we are compatible for a session and you will most likely not receive a response.
Session Limits
List any activities you are not interested in exploring under any circumstances.
Physical Limitations
Include any relevant medical history or conditions that may influence a session - Recent surgeries, history of heart attack or stroke, high or low blood pressure, any nerve damage or areas with frequent numbness/tingling or chronic pain, implants/pins/plates, pacemaker, diabetes, allergy to latex or anything else, issues breathing. Do you get lightheaded or have a history of fainting? Do you have trouble standing for periods of time or holding certain positions?
Additional Information
Use this space to ask any questions, address any concerns, or let me know anything you think I should know.
References
List at least 2 ProDommes you have seen before. Include each providers name & website. If you do not have any references, you will need provide a photo of your ID and/or a valid face-out LinkedIn page. You may add your LinkedIn page to the box above. If submitting your ID for screening, I will let you know how/when to submit it at a later time through email.
By checking each box, I agree that:

I am over the age of 18.I understand that Domination does not involve/imply sex or any illegal activity.I have included references or a link to my LinkedIn page or will provide a photocopy of my ID when Mistress Alice requests it later on.I consent to having this website store the information that I have submitted.
After submitting this form, YOU MUST send an email to mistressalicelynch@protonmail.com letting me know you have completed this form. This will help to prevent any correspondence from me ending up in your spam folder.

Priority is given to those who give thoughtful answers and follow all of my instructions. If you do not receive a reply within 72 hours, I was likely unimpressed and chose not to respond.

	Light	Medium	Intense	Unsure	Not Interested
Corporal Punishment & Impact Play
Bondage
Humiliation
CBT
Nipple Torture
Posterior Play

Impact Play

Bare PalmGloved PalmRiding CropFloggerPaddleHairbrushCaneWhipI consider myself a masochist
Areas to focus on
Areas to avoid other than the obvious (kidneys, neck, etc.)
Impact Play Comments
Bondage

Collar & LeashPosture CollarWrist & AnkleCockBallsExtremetiesBlindfoldHoodGagRopeMetal RestraintsChastityTapePredicament BondageBody BagSensory DeprivationMumification
Bondage Comments
Humiliation

Name CallingDegredationObjectificationSissificationCostumingLipstick/MakeupSmall Penis HumiliationFoot/Boot/Heel WorshipPet PlayHumiliating TasksDeep ThroatingFace SlappingSpittingIgnoringTauntingGSForced Cum EatingHair PullingBeing WatchedForced Bi
Favored Words/Names
Humiliation Comments
Cock & Ball Torture

ClothespinsClamps/More Painful ImplementsHot WaxSmackingFloggingCroppingCanningSteppingCrushingKickingElectro PlayWartenberg WheelStretchingWeightsTease & DenialRuined OrgasmChastity Cage
CBT Comments
Nipple Torture

FingersClothespinsClamps/More Painful ImplementsHot WaxWartenberg WheelStretchingWeightsElectro PlayFloggerCrop
NT Comments
Posterior Play

Small ToysMedium ToysLarge ToysExtra Large ToysFingersPlugsVibratorsStretchingFisting
Posterior Play Comments
Marks

No marksMarks/redness that last a dayMarks that last for several daysHeavy markingMarks are okay if they can be covered by clothing
Roleplay
Describe your roleplaying fantasies, if any.
Session Photography

No photosPhotos for personal use only are okayDiscreet photos may be posted online (no distinguishing features)All photography may be published online
Should be Empty: