Session Request Form
Client Information
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
What Type of Session Would You Like?
*
Private Session
Dinner Date
Special Event
Overnight
Fly Me To You (FMTY)
Other
How Long Would You Like To See Me For?
*
Please Select
1 hour
2 hours
3 hours
4+ hours (specify in comments below)
Incall, Outcall, or Other?
*
Incall
Outcall
Other (Dinner Date, FMTY, Event, Tour, etc)
When would you like to see me? Please list alternate dates below if flexible on day.
-
Month
-
Day
Year
Date
Morning, Afternoon, or Evening?
*
Morning
Afternoon
Evening
No Preference
REQUIRED SCREENING: SELFIE WITH PHOTO ID
*
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Do you have a reference? If so, list their name and social media handle or contact info below:
Any Allergies, Sensitivities, Medical Conditions or Concerns?
Preferences, Special Requests, or anything else you'd like me to know before we meet?
Final Step
Please send deposit to $alliejsparks on cashapp, or via amazon GC to alliejsparks@gmail.com. Deposit is equal to 25% of total appointment cost, or $100, whichever is greater.
1. Type "Yes" If you understand that a deposit is necessary to finalize an appointment. Any appointment request without a deposit within 24 hours will be denied, and future requests will be ignored.
*
2. Type "Yes" If you understand that deposits are nonrefundable, except for the unlikely event that I must cancel our meeting
*
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