Form
Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
How did you find My website/hear about Me?
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Your location and what city do you desire to meet with Me?
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When would you like to schedule an appointment? Specify a date and time along with duration of appointment
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Age and Physical Description (height, weight etc.)
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Please list phobias, hard limits, and any medical concerns, medications, and physical limitations
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What is your submissive style? (sissy, slut, bitch, pet, good boy, etc.)
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Can you be marked? If so, how long?
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How long have you been involved in BDSM?
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References?
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Please share contact info and a link for minimum one provider you’ve seen before, and give them a heads-up I may reach out. No references? — we’ll find another way to verify.
Ok with being filmed for My professional use?
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Describe your fantasy and please list other and/or specific areas of interest here:
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What does aftercare look like for you?
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Submit to Me
What activities are you interested in?
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Ashtray Service (420 only)
Body Worship
Bondage - (Rope, Mummification, Sleeper sack, etc.)
Ball Busting
CBT- Cock and Ball Torture
Chastity Training - I keyhold, but you are required to supply your own device. I recommend CB6000, Holy Trainer
Discipline and Correction - Over The Knee (OTK) spanking, face slapping, mouth soaping, corner time, etc.
Domestic Servitude
Double/multiple Dommes
Electro Play & Torture
Face Sitting/Smothering
Fetish Indulgence - Foot, High Heel, Boot Worship, Latex, Leather, Gloves, Stockings, Corsets (please specify below)
Forced Feminization
Financial Domination
Human Furniture
Humiliation and Degradation
Impact Play - Caning, Flogging, Whipping, Bastinado, Paddling (Ranges from light impact to corporal punishment. We will discuss intensity).
Medical Play
Nipple Torture
Pet Play and Training
Public Outings/Humiliation
Role Play
Sensory Deprivation and Overload
Sissification
Small Penis Humiliation (SPH)
Strap-on Worship/Training
Tease and Denial
Tickle Torment
Trampling
Spit
Wax Play
Other
Should be Empty: