Application for Consensual Findom with Goddess Cocoa Bands
The following form must be filled out in full with application fee & initial tribute for your application to be considered at all. Failure to do so will end up being denied. You must be at least 18 years of age.
Name or Alias*
Email*
State & Country*
Birthdate (will be verified upon selection)*
DD/MM/YYYY
List your fetishes, kinks, fantasies, wishes of what you hope to get from the attention of Goddess Cocoa Bands* (eg. Chastity, Forced intox, Ignore, Degradation, Humiliation, Sissification, Foot worship)
List any hard limits/boundaries*
Do you need aftercare?
Yes
No
What is your preferred pet name? (select all that apply)
Pig
Pup/Puppy
Slave
Bitch
Slut
Cuck
Sissy
Do you have any instant messaging services?*
Yes
No
If yes, List your preferred messaging service to use
Current Relationship Status*
Single
Married
Divorced/Legally Separated
Widowed
In a Relationship
Do you consent that you are acting upon your own free will and are not being coerced into applying for Consensual Financial Domination consideration with Goddess Cocoa Bands?*
Yes
No
What is your ideal D/s relationship? (Are you looking for something long term or short term. Daily communication or sessions only, elaborate in detail.)*
What type of relationship are you seeking with Goddess Cocoa Bands? (Please select all that apply to you)*
Strictly online
Strictly in person
Online & In person
Webcam/Facetime interaction
Check all activites that you are or might be interested in?*
Daily Tribute
Weekly Tribute
Monthly Tribute
Silent Sends
Tasks
Adopt a Bill
Messaging
Have you previously served a Goddess/Mistress? If so, What was their name? How long did you serve for? Why did you stop?*
Why should you be allowed to serve Goddess Cocoa Bands? Why did you choose me?*
What is your Employment Status?*
Please Select
Full Time Employed
Part Time Employed
Self Employed
Unemployed
Retired
What is your Occupation?*
What is your Pay Schedule?*
Please Select
Daily
Weekly
Fortnightly
Monthly
How often can you commit to paying tribute or giving gifts to your Goddess Cocoa Bands?*
Please Select
Daily
Weekly
Fortnightly
Monthly
Any other important information that I need to know?*
I understand that if my application is accepted for ownership, that I will start a trial period where I need to prove I am worthy of being Goddess Cocoa Bands's Submissive?
*
Yes
No
*
Please verify that you are human
*
My Products
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Application Fee
$50.00
$
50.00
Initial Tribute
$100.00
$
100.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Submit
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