Appointment Request Form

MISTRESS LAYNE

DATE REQUEST FORM
Full Name*

First NameLast Name
Contact Number*
For screening purposes only. I will not contact this number without your consent.
Email Address*
I will be contacting you via e-mail to schedule our date. Please make sure you input it correctly, and to check your spam folder for my response!
Tell me about you.
Getting to know new playmates is fun, so please tell me a little about yourself! Please refrain from asking explicit questions on my request form.
Date Details
What type of experience do you seek?*

Vanilla Girlfriend ExperienceKinky Girlfriend ExperienceClassic BDSMCouple/Group (+$500/person)Social DateRemote Experience
In what city would you like to meet?*
Please provide the city you are located in.
When would you like to meet?
Please provide a date and a window of time. Please provide other date/time options just in case.
How long would you like to spend together?*
Incall or Outcall?*
Please tell me briefly about your interests.*
Please be brief and no abbreviations, please!
Lastly...
What made you decide you would like to book time with me?*
DATE TERMS OF AGREEMENT*

I am over the age of 18I understand and agree to provide screening when asked for itI understand and agree to the deposit and cancellation policy
Should be Empty:

MISTRESS LAYNE