Mistress Celia Bane Application to serve

1
There are two steps that are required to have the opportunity to serve Me

Filling out this application

Having a 30-minute interview with Me over the phone ($50 non-refundable fee)

I only engage with people who are thoughtful and intentional about D/s.

Take your time giving Me a basic understanding of who you are.

I don't need your entire life story - I just want to discern whether or not We/we are compatible.

I am most impressed by those who know themselves well and are dedicated to continuing to deepen their relationship to themselves even more.

Be detailed but keep it simple.

IF YOU DO NOT RECEIVE A REPLY FROM ME WITHIN 3-5 DAYS OF SUBMITTING YOUR APPLICATION, CHECK YOUR EMAIL'S SPAM/JUNK FOLDER
2
Have you read in full and complete entirety My Interests and Hard Limits?
YES MISTRESSNO MISTRESS
3
Have you read in full and complete entirety How to Behave in the Presence of a Professional Domme?
YES MISTRESSNO MISTRESS
4
your legal name* This field is required.I respect your need for privacy and discretion, but for my safety & security you must provide your full legal name
First Name
Last Name
5
your email* This field is required.provide an email I can reach you at
example@example.com
6
your phone number* This field is required.I will not call or text without consent, this is for verification purposes
Please enter a valid phone number.
7
your date of birth* This field is required.year - month - day
Date
Year
Month
Day
8
Tell Me about your vanilla life* This field is required.Where are you from? Where do you live now? What do you do for work? How many hours a week do you work? Do you have a stressful life? Are you single, married, have kids? What do you like to do in your free time? What vanilla interests do you have? Don't feel the need to answer every single one of these questions, I just want to get to know you better.
Huge
Large
Normal
Small
Ok
Ok
9
your health & well-being* This field is required.please disclose all physical, mental, and emotional health history so I can be responsible in my potential engagement with you. this will not affect whether or not I accept your application, but I need this information in order to be informed of your needs, risks, and limitations.
Huge
Large
Normal
Small
Ok
Ok
10
physical health* This field is required.please select all past & present physical health conditions
high blood pressure
heart disease
heart attack
high cholesterol
asthma
emphysema
diabetes
stroke
stomach ulcers
arthritis
hepatitis
tuberculosis
HIV/AIDS
HSV-1 (oral herpes)
HSV-2 (genital herpes)
chlamydia
syphillus
chronic pain
autoimmune disorder
Other
11
mental & emotional health* This field is required.please select all past & present mental & emotional health conditions
anxiety
depression
bipolar
addiction
substance abuse
alcoholism
trauma
PTSD
autism
ADHD
other
12
What are your kinks and fetishes?* This field is required.A kink is an act you enjoy doing, being part of, and/or seeing, sometimes it's sexual, sometimes it's not. A fetish is a sexual fixation on a certain object, act, or physical characteristic that you need, or strongly prefer, to achieve sexual gratification.
Huge
Large
Normal
Small
Ok
Ok
13
Share your fantasies with Me* This field is required.Imagine Me reading this.
Huge
Large
Normal
Small
Ok
Ok
14
Describe your dream Mistress.* This field is required.What does She look like, what is She wearing, what does she Say to you, how does She behave?
Huge
Large
Normal
Small
Ok
Ok
15
What are your boundaries? Include if there are words, phrases, or nicknames that are off limits.* This field is required.Hard limits, soft limits, any sort of limits mentally, emotionally, physically, etc.
Huge
Large
Normal
Small
Ok
Ok
16
How do you feel about pain?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
17
Tell me about your BDSM history and experience.* This field is required.How long have you been in the BDSM world? If you have had any experiences that were not enjoyable, damaging, or traumatic, include those as well.
Huge
Large
Normal
Small
Ok
Ok
18
List two Pro-Dommes you have had sessions with. Provide their contact info and/or links to their online content. Include what name they know you by.* This field is required.If you are not able to provide these references, I will require a clear photo of your face, holding your driver license in frame at a later time.
Huge
Large
Normal
Small
Ok
Ok
19
Is there anything else you'd like to share with me?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
20
What types of sessions are you interested in?* This field is required.Select all that apply
Phone calls
Video calls
In-person in Los Angeles
Should be Empty: