Form

Submissive Application Form
All forms will be reviewed & responded to when I see fit and only those who send something from my Wishlist will be prioritised!

This application is for consideration only. Do you have the fundamentals needed to submit to me? Are you lost and in need of guidance & control? Then you’ve already taken the first step by being here. My needs and wants are important, but yours are too. If you are looking to build a true D/s connection to give you purpose in life then you have been lucky enough to find me. I don’t take any of this lightly and if you don’t fit my criteria of a submissive then you will not move to the next stage of consideration. Forms submitted with a throne send will be reviewed sooner. Do you think you have what it takes? Answer honestly and responsibly!
Getting To Know You….

NameSub Name
AgeCountry
Personal Statement - Tell Me About You. HomeLife/Job/Interests/Anything Else You Want To Add
Let’s Get Deeper. What Brings You Here? What Makes You Tick? What Are Your Strongest Kinks?
What Are Your Boundaries. All ‘HARD NO’s’ Must Go Here!
Still Exploring. What Kinks Are You Interested In But Yet To Dabble?
What Do You Look For In A Domme? Be Sure To Add How You Prefer To Be Treated By Your Domme.
What Is Your Weekly/Monthly Budget For Your Domme/Kink Play?
How Will You Be Of Service To Me & Why Should I Consider You?
HumiliationMommyNurtureControlSPHJOIDenialTasksFindomBlackmailExposureManipulationCBTCEIPeeWorshipSessionsVoicenotesVideo ResponsesReimbursmentsCuckFeetUsed itemsTeasingDegradationIntoxRoleplayDebt contractChastityGirlfriend/Mommy ExperienceContent buyingPraisingOwnershipDraining SessionsSextingIgnore sessionsAnal playOther (please specify)
Other - Please Specify Here
Contact Details - Must Have A Means Of Contact!

Email If Applicable (Put N/A If Not) Twitter Username If Applicable (Put N/A If Not)
Only Fans Username If Applicable (Put N/A If Not)Telegram If Applicable (Put N/A If Not)
***Please Note You Must Notify Me Of Submission Of This Application On My Socials Since I Check Them More Frequently Than My Emails!
By submitting this form I understand I am under consideration for submitting to Queen Polly. I vow to be of service for my mistress and will devote my being to her for her happiness.
Should be Empty:

Submissive Application Form