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
Email Address*
example@example.com
Height*
ft + inches
Weight*
lbs
Pro Domme References*
When would you like to book?*

MonthDayYear
Date
Hour MinutesAM/PM Option
Duration of session*

1 hour90 mins2 hours3 hours
BDSM Experience*

BeginnerIntermediateAdvanced
What services are you interested in?*
Corporal punishment, Impact play (Paddles, crops, canes, floggers, etc), Face slapping, OTK (Over the knee) spanking, Bondage (chains, leather restraints), Humiliation (verbal/physical), Gagging, Spitting, Sounding, Nipple torture, CBT (Cock and balls torture), Ball busting, Golden shower, Chastity, Trampling, Facesitting, Smothering, Human ashtray, Wax play, Tease and denial, Ruined orgasm, Post orgasm torture, Pegging, Fisting, Degradation, Human Furniture, Cage confinement, Sissyfication, Feminization, Forced bi, Fear Play, Leather Fetish, Latex Fetish, Stocking Fetish, Feet/boot worship, Body worship, Slave training (Long-term)
Soft limits*
Hard limits*
Medical Issues or Physical limitations, if any*
Additional comments
Should be Empty: