Session Request Form

Session Request Form

All sessions will take place at The Succubus Temple ☆ $400/hr ☆ Deposit is required to book, non refundable
Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Height*
ft + inches
Weight*
lbs
Pro Domme References*
Please ensure you have your reference's permission first before sharing their contact info
When would you like to book? (No same day bookings)*

MonthDayYear
Date
Hour MinutesAM/PM Option
Duration of session*

1 hour90 mins2 hours3 hours
BDSM Experience*

BeginnerIntermediateAdvanced
What services are you interested in?*
I Offer: Boot/Heel worship, Bondage, Chastity training/Keyholding, Edge play, Genital torture, Fear play, Feminization, Findom, Forced Bi, Human furniture, Human ashtray, Humiliation, Impact play (using implements and/or hands), Mindfuck, Nipple torture, Orgasm control, Predicaments, Sensory manipulation, Slave/Sub training (long term), Tease & Denial, Trampling, Wax play, Worship & Ritual, and more ☆☆☆☆☆☆ What I DON'T Offer: Brown or Roman showers, DATO/DATY, Full service/sexual acts, Race play, Wrestling
Soft limits*
Hard limits*
Allergies, Medical concerns, or Physical limitations, if any*
Additional comments
Should be Empty: