Client Booking & Screening Form

Contact Details

What's your name?*

FirstLast

Age:*

Race/ethnicity :*

Phone Number:*

Please enter a valid phone number.Format: (000) 000-0000.

Email:*

example@example.com

Preferred Date Of The Booking?*

Preferred Time Of The Booking?*

Preferred Duration Of The Session?

Preferred Location?*

Incall or Outcall?*

At this time (as of June 2024) I am NOT offering incalls unless specifically stated otherwise in my ads.

Notes or Requests

Respectful messages only

How did you find me?*

- Provider References (2 within last 6 months)- ID Verification (Photo of ID + Selfie holding ID)

Reference #1*

Name, Contact (Phone and Email) and Website/Profile (If Available)

Reference #2*

Name, Contact (Phone and Email) and Website/Profile (If Available)

Upload Photo of Valid Government ID:*

Photo Of valid ID

Upload Selfie Holding Same ID:*

Selfie Photo Holding ID

💰 To Confirm Your Time with Me
A 40% deposit is kindly required to secure your booking. This ensures my availability is reserved just for you and reflects a mutual commitment to our time together.

I currently accept:

💸 Cash App
💸 Venmo
💸 Apple Pay

Details will be shared once screening is complete. Thank you for understanding—I can’t wait to make our time unforgettable 💕

LOGAN MOORE TERMS AND CONDITIONS*