Application Form

1

What type of session are you interested in?* This field is required.

Studio Session

Online Session

Dinner and Domination

Coaching Session

2

Where would you like to meet me?* This field is required.Choose all that apply

Arnhem

The Hague

Berlin

Online

4

When would you like to meet?* This field is required.Give me several options, include dates and times of day

5

What do you desire to do in our session?* This field is required.Tell me your kinks, fetishes, fantasies, aftercare wishes, desires....

6

What are your limits/boundaries?Tell me what you DO NOT want to do in our session. Please include any fears/triggers

7

Do you have any medical concerns that I should be aware of?Include anything that is relevant to our sessions, such as heart conditions, injuries, disabilities, medications, etc

8

What is your Email?* This field is required.I will only contact you via email. Check your spam box if you don't hear from me in 2-4 business days

example@example.com

9

Who are you?* This field is required.Please introduce yourself by including your name and any details you'd like me to know about you.

11

Any final questions for me?