Application for consensual findom with Goddess Harley
The following must be filled out in full. You must be atleast 18 years of age.
Name or Alias
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Twitter handle
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Email
example@example.com
Phone Number
Please enter a valid phone number.
State/Country & Time Zone
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Birthday (must send verification)
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/
Month
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Day
Year
Date
Photo Proof of Age and Date of Birth (you may blur any personal information)
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Browse Files
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List your fetishes, kinks, fantasies, wishes of what you hope to get from Goddess Harley (eg. chastity, ignore, degradation, humiliation, praise, etc…)
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My kinks include…
List any Hard Limits or Boundaries
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Do You Require Aftercare?
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Yes
No
What Is Your Preferred Pet Name
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Pig/Piggy
Pup/Puppy
Slave
Bitch
Slut
Cuck
Sissy
Other
Other Prefered Pet Names
Current Relationship Status
Single
Married
Divorced/Legally Seperated
Widowed
In a relationship
What is Your Ideal D/S Relationship? (Something along Term, Short Term, Daily Communication or Sessions only) Elaborate in Detail
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Check All The Activities You Are or Might Be Interested In
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Daily Tribute
Weekly Tribute
Monthly Tribute
Silent sends
Tasks
Adopt a Bill
Messaging
Other
Why Should You Be Allowed to Serve Goddess Harley? why Fid You Choose Me?
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What is Your Employment Status?
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What is Your Pay Schedule
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How Often Can You Commit To Paying Tribute or Giving Gifts to Goddess Harley?
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Daily
Weekly
Monthly
Any Other Important Informations I Need To Know?
Do you consent that you are acting upon your own free will and are not being coerced into applying for consensual financial domination considerations with Goddess Harley
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Yes
No
Did you pay the $20 tribute?
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Yes
No
Where did you pay the tribute?
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PayPal
Throne
Wishlist
I understand that if my application is accepted for ownership, that I will starts a trial period where I need to prove I am worthy of being Goddess Harley’s submissive
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Yes
No
I have answered all questions truthfully
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Yes
I understand this application is subject to approval
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Yes
Please verify that you are human
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Submit
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