Form

Name*

First NameLast Name

Email*

example@example.com- CHECK YOUR SPELLING! Your email is required. If you do not put in the correct email address, I will not be able to find you!

Age*

Location*

What activities are you interested in exploring during our session?*

What type of dynamic do you fantasize about for our session? Are you interested in a specific type of role play? Do you enjoy humiliation, or perhaps you prefer to be praised?*

Please describe your level of experience as a submissive;*

When are you interested in booking your session? It is best to provide 2-3 options;*

How long would you like to book for?*

Where would you like to have your session? Do you want to meet at the dungeon, at a hotel, at your home, etc?*

List any boundaries or limits that you hold as a submissive;*

List any pertinent medical conditions, physical injuries, disabilities, or allergies;*

How do you intend to verify, if you have not already done so?*

Verification is mandatory, no exceptions. I will follow up with you by email once your application has been approved.

Please review the three tiered pricing structure listed on tryst at https://tryst.link/bdsm/camillachrome . Based on this structure, which tribute tier do you believe the session that you have described interest in falls under?*

The intention of this section is to ensure you understand the cost of what you are asking for. If you describe activities that I list as Tier 2 but instead choose Tier 1 here, it does not mean you will receive services at a lower price.

What to expect now?

I will do my best to contact you within 24-48 hours. Often, proton mail accounts are sent to spam folders by gmail, so make sure to check your spam folder. If you have not heard from me or you want to make sure that I have received your request, feel free to email me at camillachrome@proton.me

Cancellation Policy

For any appointments in New York City, your deposit will be refunded in full as long as you cancel with at least 24 hours notice.

When touring, your deposit will be refunded in full as long as you cancel with at least 48 hours notice.

Lateness and Extension Policy

Your appointment will not be extended without additional tribute if you arrive late. Make sure to book enough time for what you would like to do. If and only if I have the available time, your appointment may be extended at a higher rate.

Camilla's New Client Intake Form