Session Request Form

Session Request Form

This is a session form request for Goddess Avecti. Serious submissions only. Timewasters will be blocked.For further questions, email goddessavecti@proton.me
Full Name*

First NameLast Name
Contact Number*
Please enter a valid phone number.
Email Address*
example@example.com
Location *
What date and time are you requesting?*
Any other specific date and time, if the above selection is not suitable.*

MonthDayYear
Date
Hour MinutesAM/PM Option
Why are you interested in serving Goddess Avecti?*
How much experience do you have as a submissive? Do you have references? *
What desired tools would you like during your session? (example: whip, flogger etc) *
What are your kinks/ fetishes? *
How do you want to feel in session? What is your desired session? *
How do you prefer a Domme to treat you during a session?

HumiliatingSensualBrattySadisticStrictRuthlessNuturing
What’s your desired pain level *
Any physical limitations?*

YesNo
Choose Screening method*

Phone consultationEmail consultation
How did you find me?*

Provider siteSocial mediaMy websiteGoogleOther
Choose your Deposit method *

CashappVenmoWishtenderVisa gift card
Terms and Conditons Agreement: By providing your signature you are agreeing to assume full responsibility and full liabilty for your health, safety, and well-being. that you willfully disclose all medical and health conditions that may impact any aspect of this and any future engagments, and that you are of sound mental and emotional health that are required in order to fully engage with any/all elements of BDSM and kink exploration*

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