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*
Session Location*

Private Dungeon in North Tampa
How Did You Find Me?*

Session GirlsTrystFetlifeTwitterBDSMProfessionalsAlphas DirectoryGoogle SearchOther
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
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, Additional Screening & A Copy Of Your ID Will Be Required*
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: