Session Request Form

Session Request Form

If you submit a form & don't get a response, check you SPAM folder
Name*

First NameLast Name
Email- This is the email I will use to respond to you. Make sure it is correct*
example@example.com
Phone Number- Used for confirmation ONLY*
Please enter a valid phone number.
Age*
Session Experience Level*

Newb- Never had a sessionLess than 5 sessions the past year5+ sessions the past yearExperienced & session frequently
Session Interests*

Foot/Leg WorshipCBTTicklingBondageFeminization/SissificationForced Bi (Fantasy/Strapon)SoundingFace Slapping/SpittingFinDomRole Play- Please specify belowAss Worship/Face Sitting- Clothed ONLYScissor HoldsElectro Play- Violet Wand/E-StimHeel/Boot WorshipObjectification/Human FurnitureTramplingPuppy/Pet PlayOther- Please elaborate belowBallbustingStrap-on Worship
If you selected "Bondage", which type*

RopePlastic WrapMummificationLeather StrapsTruss Me Up Like One Of Your DamselsSpread Eagle To The Bed Is All I Need
Please elaborate on your session wish below*
Hard Limits/Trigger Words/Disabilities*
How Did You Find Me?*

Session GirlsTrystFetlifeTwitterBDSMProfessionalsAlphas DirectoryGoogle SearchOther
Session Location*

Private Dungeon in North Tampa/Land-O-LakesAtlanta Dungeon February 3rd, 4th & 5th SoloAtlanta Dungeon February 3rd, 4th & 5th Double w/Mistress Rogue
I require a minimum of 48 hours notice & am very rarely available same day or 24 hours in advance. In the event that I am available that soon, there will be a $200 "rush fee" & if we haven't sessioned together before, I will require you to send over your ID for verification & vetting since I won't have time to properly vet you through references.
Date- First Choice*

MonthDayYear
Date
Time- First Choice*

Hour Minutes

AM/PM Option
Date- Second Choice*

MonthDayYear
Date
Time- Second Choice*

Hour Minutes

AM/PM Option
Date- Third Choice*

MonthDayYear
Date
Time- Third Choice*

Hour Minutes

AM/PM Option
Length Of Session- I am not offering anything longer at this time*

1 Hour- $4001.5 Hours- $6002 Hours- $7003 Hours- $925
I acknowledge that I'm not trying to entrap, solicit or obtain illegal sexual activities. I'm applying for a Pro-BDSM session.*

No- I do not acknowledge & you should not session with meYes- I acknowledge this & I am legal safe & sane
Session Wardrobe Requested*

Girdle- All-In-OneGirdle- Half girdleLatexLeatherCorsetWorkoutBusiness- Skirt/blouseCasual- Jeans/T-shirtPantyhoseFull Fashioned StockingsRHT StockingsFishnetsBootsHeelsSneakersLingerieCatsuitPVC/Wet LookMistress's Choice
Please Upload Your Photo ID Here. You May Censor Out Your ID Number & Address, But I Must Be Able To See Your Photo, Birth Date & Full Name.*

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Names & Emails of Pro-Domme's You've Seen In The Past. Make Sure To Include Any Emails, Socials or Contact Info For the References You List. If You Don't Have Any Verifiable References, Your Photo ID Will Serve As The Way I Verify You.*
Can I Photograph/Record Your Session*

No I am very privateYes but please conceal my identity
Declarations*

I have read & understand your rulesI understand that my deposit is non-refundableI am of legal age to apply for this service and to my best knowledge of sound mind to consent to the activities I am requesting
Should be Empty: