Appointment Request
Name
*
First Name
Last Name
Date and time requesting (00/00/0000, 00:00AM/PM PST)
*
Preferred Play Names
1
2
Email
*
example@example.com
Phone Number
*
Specific Location For Appointment
*
*I am currently available for out-calls only.
How much time are you requesting?
*
1 hour
1.5 hours
2 hours
Have you seen a professional before?
*
Yes
No
Interests
*
Pegging
CBT
Sissy Play
Humiliation
Chastity
Foot Worship
Cane/Crop/Paddle
Spanking
Cuckolding with bull (requires an additional $100.00 deposit).
Sounding
Bondage
Other
What are your limits?
*
Are you requesting a Bull?
*
Yes
No
Screening Photo
*
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You holding your driver's license up to your face.
Cancel
of
Wardrobe Request
Provide any additional information or context to your request.
Deposit Requirements
If I accept your application a non-refundable $100 deposit, applied to your total, will be required to reserve time in My schedule. We will discuss the details of your request once this step is complete. CashApp, Venmo or My website (billed as Segpay) options only.
Cancellation Policy
This is what the deposit is for. If you are unable to make your appointment I am not out in the cold. If I need to cancel for any reason your deposit will be returned.
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