Visit Request & Screening Form

Visit Request & Screening Form

Book a date with Buffalo's favorite petite playmate!
- Please fill out the form below to book a visit. I recommend completing it AT LEAST 3 days before you want to meet. The further in advance, the better.
- I will typically respond with 2-3 business days.
- This is an application to see me. It is not a guarantee that we will be able to meet.
- I encourage you to check out the links below for more information about me and what to expect during our time together :)
My Website

Policies

Frequently Asked Questions

Guidelines

Hesitant to Screen? Read this!

If you would like to book an online service (pictures, panties, skype, or texting), please see my Virtual Services Form.

For problems completing this form or other inquiries I can be reached at ms.karenxx90@gmail.com & 716-992-0913 (TEXT only).

Xo Karen
Name*

First NameLast Initial
How Old Are You? - must be 21+ for in person services *no exceptions**

21-2425-2930s40s50s60s70+
Phone Number (preferred) or Email*
Whatever you list here is how I will contact you.
When is it ok to contact you via the method you listed above? (I will only text you, not call)*
Example: anytime, weekdays 9-5, not after 10pm, etc. As a general rule I will never contact you before 8 am or after 9pm.
Are you ready to pick a day & time to meet?*

I would like to pick a day/time to get together.I would like to be screened for a future meeting, not sure on the day/time yet.
Weekly Availability

Monday: 4:30pm-9pm (outcalls @11am)

Tuesday: 10:30am-9pm

Wednesday: 10:30am-7pm

Thursday: 10:30am-7pm

Friday: 10am-12pm (outcalls til 9pm)

Saturday: not available

Sunday: not available
Desired Day of Visit*

MonthDayYear
Desired Time of Visit*

Please see availability above

AM/PM Option
Alternate Date (in case first one you pick is not available) - optional

MonthDayYear
Alternate Time (in case the first one you pick is not available)-optional

AM/PM Option
What Services Are Available?

GFE /Full Service https://mskarenxx90.com/gfe

Online Services- Pics & Panties https://mskarenxx90.com/virtual-service
Desired Length of Visit - rates can be found on https://tryst.link/escort/ms-karen or at www.mskarenxx90.com/gfe*

Half hour GFE (not recommended for new clients)1 hour GFE1.5 hours GFE (recommended for first time clients)2 hours* GFE3 hours* GFE4 hours* GFE5 hours* GFEOther (please specify in request section)
* a 50% deposit is required for first time clients booking 2 hours or longer. Payable via Cashapp, venmo, or PayPal.

For more information on this policy and others, check out https://mskarenxx90.com/policies
Have we met before?*

YesNo
Will this be your first experience with a companion*

YesNo
Your place or mine?*

Incall (my place)Outcall (your place - see info below)
**Some info about Outcalls**

-I will travel within 15 mins of the North Buffalo area; I may be willing to travel further for established clients and/or additional travel fees

-Visit must be an hour minimum

-If you are new to this and/or do not have a reference, our first visit will have to be incall. Outcalls can then be discussed for future visits. This is to keep me safe, thanks for understanding :)
Location of Outcall*
Please at least provide cross streets
Method of Verification*

I would like you to attempt to verify me based on the number/email I previously used to contact you (if you don't know your old # this obviously won't work)I would like to include additional verification info in the event that you are unable to locate me in your records by my phone number.
Number/Email with which you previously contacted me *
Approximate year & location we last met
Optional - Anything that may help me remember you
In the event I cannot locate your previous contact info, I may be able to remember you based on the info you provide. This is not a guarantee.
Verification Method (Incall)*

Picture of ID - Your full name and d.o.b. must be visible. Address and ID # may be blocked out. If anything else is blocked out I will not accept this method of verification.
+Verification Method - please select at least one of the options below and fill out the appropriate corresponding box below*

P411 Username - must be a current account with at least 2 provider "okays", 1 within the past year. If you don't know what P411 is, you don't have an account & this option does not apply to you.Provider Reference - This means a reputable companion you have seen before is willing to vouch for you. Provider must be on social media/legitimate website. References accepted at my discretion.Picture of ID - Your full name and d.o.b. must be visible. Address and ID # may be blocked out. If anything else is blocked out I will not accept this method of verification.
Verification Method (Outcall) - please select at least one of the options below. **If you do not have a provider reference or a P411 account, we will need to have our first encounter at my incall ***

P411 Username - must be a current account with at least 2 provider "okays", 1 within the past year. If you don't know what P411 is, you don't have an account and this option doesn't apply to you.Provider Reference - This means a reputable companion you have seen before is willing to vouch for you. Provider needs to be on social media/legitimate website so I can verify she is actually a provider. Ads on skipthegames/escortbabylon/listcrawler do NOT count
P411 Username - must be in Name-##-letter-#### format. Example John-01-A-1234*
+P411 Username- must be in Name-##-letter-#### format. Example John-01-A-1234*
* P411 Username - must be in Name-##-letter-#### format. Example John-01-A-1234*
Provider Reference - This means a reputable companion you have seen within the last year is willing to vouch for you. I recommend checking with her before listing her as a reference*

Providers NameProvider's Contact InfoPlease provide link or username, don't write "Tryst" or "Twitter"
+Provider Reference - This means a reputable companion you have seen within the last year is willing to vouch for you. I recommend checking with her before listing her as a reference*

Provider's NameProvider's Contact InfoPlease provide link or username, don't write "Tryst" or "Twitter"
*Provider Reference - This means a reputable companion you have seen within the last year is willing to vouch for you. I recommend checking with her before listing her as a reference*

Providers NameProvider's Contact InfoPlease provide link or username, don't write "Tryst" or "Twitter"
Which phone # /email/Twitter handle will she recognize you by?*
For example, if you always correspond with her by email, list your email. This will minimize confusion when I ask her if she knows you.
+Which phone # /email/Twitter handle will she recognize you by?*
For example, if you always correspond with her by email, give me your email. This will minimize confusion when I ask her if she knows you.
Picture of ID*

Cancelof
*Which phone # /email/Twitter handle will she recognize you by?*
For example, if you always correspond with her by email, list your email. This will minimize confusion when I ask her if she knows you.
+Picture of ID*

Cancelof
Picture of ID - Your full name, picture, & d.o.b. must be visible. Address and ID # may be blocked out. If anything else is blocked out I will not accept this method of verification*

Cancelof
How do you feel about scented body lotion/light perfume*

Love it!No scents pleaseIndifferent
Other Requests/Information (optional)
Specific Requests, Preferences, Fetishes, etc. (For example: do not contact me after 6pm, no perfume please, I like the lights off, please wear x outfit, I have a foot fetish.)
Any questions for me? (optional)
This is your space to ask about particular sexual preferences, etc. If/when you are verified we can also briefly chat via text about any questions you may have if that's more comfortable for you :)
Cancellation Policy
- If you cancel within 5 hours of our meeting, there is a 50% cancellation fee due by the end of the day via Venmo, Cashapp, or PayPal
- If you have paid a deposit, that counts as your cancellation fee.
- If your cancellation rate is over 30% of total dates you have booked, a deposit amount subject to my discretion is due at the time you schedule your next visit. The deposit amount goes towards the donation for your apptmt and can be paid via Venmo, Cashapp, or PayPal.
**please see my policies page for my full cancellation policy as well as my return policy on deposits.
I have read and understand the cancellation policy outlined above*

YesNo
Where did you hear about me?

TrystTwitterAnother providerA friendEccieOther
Should be Empty: