WELCOME

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DISCLAIMER: THIS FORM IS TO BE FILLED OUT BY ADULTS ONLY THE AGE OF 21+. IF YOU ARE UNDER THE AGE OF 21, PLEASE EXIT MY SITE NOW. BY COMPLETING THE FOLLOWING FORM, YOU AGREE TO RECIEVE SMS UPON COMPLETION. YOU UNDERSTAND AND ACCEPT FULL RESPONSIBILITY FOR YOUR OWN ACTIONS, THUS RELEASING THE WEBSITE OWNER, THE WEBSITE BUILDER SOFTWARE, ITS STAFF, AFFILIATES AND ADVERTISERS FROM ALL LEGAL LIABILITY. THIS FORM IS NOT INTENDED TO BE VIEWED AND/OR COMPLETED BY MINORS. NO SEXUAL ACTIVITIES ARE IMPLIED OR CONDONED BY THE CREATOR(S) OF THIS FORM. THIS FORM DOES NOT PROMOTE PROSTITUTION NOR IS THIS ADVERTISEMENT OR ANY CONTENT THEREIN AN OFFER FOR PROSTITUTION. MONEY EXCHANGE IS FOR COMPANIONSHIP ONLY AND ANYTHING BEYOND THAT IS A CHOICE MADE BETWEEN TWO CONSENTING ADULTS AND NOT CONTRACTED FOR BY THE SITE OR ITS CREATOR(S). UNDER NO CIRCUMSTANCES DOES THE WEBSITE OWNER, THE WEBSITE BUILDER SOFTWARE, ITS STAFF OR AFFILIATES CONSENT TO OR HAS KNOWLEDGE OF ANY ILLEGAL ACTIVITY COMMITTED BY ANYONE ASSOCIATED WITH THIS WEBSITE.* This field is required.
I AgreeI Disagree ( by disagreeing you understand that your form will be automatically discarded)
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What's Your Name?* This field is required.
First Name
Last Name
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Are you affiliated with the police or any undercover law enforcement agencies? Or are you involved in any undercover sting operations or any PI related activities? Do you have a badge number?* This field is required.
Yes
Yes
No
Military Affiliation
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How Old Are You?* This field is required.Must be 21+ years old of age or older.
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What Is Your Phone Number?* This field is required. BURNER/VOIP numbers &iCloud emails will result in your booking form being automatically discarded!
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Which Platform Did You Find Me From?* This field is required.
Please Select
Please Select
Instagram
X ( Also known as Twitter)
Onlyfans
Telegram
Tryst
Private Delights
ListCrawler
Escort Alligator
Escort Babylon
Mega Personals
SkipTheGames
Callescort
Referral
Other
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If You Found Me On Any Of My Social Media Platforms, What Is Your Username/Handle?
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What City & State Are You Seeking To Book In?
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Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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Are You Just Traveling Into Town?I love building long lasting connections!
YESNO
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Are You Seeking For Me To Travel To You?* This field is required.A $50-$100 deposit IS REQUIRED if I travel to you. (NO EXCEPTIONS- Failure to submit deposit when dates are confirmed will result in cancellation/blocking.) If you are seeking a "FMTY"- a 30% deposit is required!
I will travel to you ( Deposit Required)You will travel to me!
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What Is The Duration Of Time You Would Like To Spend Together?* This field is required.
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Please Select
Half Hour ( 30 Minutes )
1 Hour ( 60 Minutes )
Hour & Half ( 90 Minutes)
2 Hours
3 Hours or More
12 Hours or More ( Please inquire)
Other Amount - Will discuss upon contact.
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What Is The Industry You Currently Work In?* This field is required.
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Please Select
Agriculture
Construction
Education
Engineering
Finance
Healthcare
Information Technology
Insurance
Manufacturing
Mining
Real Estate
Retail
Transportation
Utilities
Wholesale
Other
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All Deposits Apply Towards Total Session, If You Are Unable To Send A Deposit Prior To Our Session, You Will Be Blocked.* This field is required.Deposits can be paid via Cashapp, Apple Pay, Zelle, & Venmo
I UnderstandI Do Not Understand?
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What Is The Date You Are Interested In Booking For?
Date
Year
Month
Day
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What Time Are You Interested In Meeting?If unsure, please list a time frame. Example: 6:00 PM-8:00 PM
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Is There Anything You Would Like To Share To Help Me Better Prepare For Our Time Together? I Really Appreciate Your Honesty And For Sharing Anything Sensitive With Me. This is 100% A Judgement Free Zone.
Huge
Large
Normal
Small
Ok
Ok
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Video Verification Is REQUIRED For ANY & ALL Bookings. Which Platform Would Work Better For You To Meet Via Video?* This field is required.Live/FaceTime verification gives us a quick chance to say Hello and connect!
Please Select
Please Select
FaceTime
Google Meets ( Duo)
Instagram
Telegram
Whatsapp
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