HB Appointment Request Form

Appointment Request Form

Submit your info for screening!
Full Name

PrefixFirst NameLast Name
Age
(Minimum Age: 25)
Occupation/Industry
Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
What date and time work best for you?
Any other specific date and time, if the above selection is not suitable.

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
Where would you like to meet?
My Products
prevnext( X )
Screening Fee
Covers costs of screening, updating, and supporting requests for appointments.

$20.00 Quantity



Virtual Session Deposit
$50.00 Quantity



In-Person Session Deposit
NOTE: 48-hour (or more) notice needed for all appointments. Deposits are non-refundable commitments to booking.

$250.00 Quantity



2 Hour Session
Minimum booking for new and first-time appointments.

$1,000.00 Quantity



3 Hour Session
Includes additional time for establishing dynamics.

$1,500.00 Quantity



4 Hour Session
Includes extended time to establish dynamics and provide additional aftercare.

$2,000.00 Quantity



In-Call Hosting Fee
Additional fee required for in-call appointment requests.

$385.00 Quantity



Total

$0.00
Incalls will include an additional hosting fee to secure a space.

Outcalls must be hosted in a private commercial space (not a private residence).
All deposits are non-refundable. Cancellations are permitted with 24-hour notice.
What services are you specifically interested in?
Please do not discuss explicit services, if you include this in your form submission you will fail the screening.
Have you seen a BDSM service provider or Pro Domme before?
If YES, please provide 1 or 2 references. Include name, website, and email. If NO, please provide employment information to verify your identity.
If the provider does not have a website, an age-verified profile can be provided instead.
Just for fun. How did you find out about me?

Other
Please verify that you are not a bot
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Appointment Request Form

My Products