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.
DOB*

MonthDayYear
Date
Do You Consider Yourself To Be*

A SubmissiveA FetishistA MasochistNot Sure
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?*

TrystFetlifeTwitterBDSMProfessionalsAlphas DirectoryGoogle SearchBad KitySession Girls
Session Location*

Private Dungeon in TampaPhiladelphia October 21st- 24thEdison, NJ Exxxotica October 24th- 26thMinneapolis, MN November 7th & 8thFMTY Details & Location To Be Discussed
Length Of Session*

1 Hour- $4001.5 Hours- $6002 Hours- $7003 Hours- $9254 Hours $11505 Hours $14006 Hours $1600
Are You Local Or Just Visiting The Area
On vacation, a business trip, I live here
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 $100 "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. The rush fee does not apply for instances where I'm touring.
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
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, Your Photo ID Will Serve As The Way I Verify You. Please Submit Your ID In The Space Provided Below*
For Faster Screening, Or If You Don't Have Any Verifiable References, Please Submit Your Photo ID Below. You May Censor Out Your Sensitive Info Such As Your Address & ID Number, However I Must Be Able To See Your Face, Full Name & Birth Date

Cancelof
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 50% 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
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
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