Submissive Application

Name* This field is required.Preferred Name or Name

Pet NamesDo you have any pet name preferences?

ID Verification* This field is required.Are you okay/able to submit a photo of your ID for age verification? Nobody else will see this ♡

YESNO

Contact* This field is required.What is your preferred method of contact?

BlueSky

LoyalFans

Contact* This field is required.What is your username?

Submissive* This field is required.What is your submissive type?

Vanilla

Finsub

PayPig

Slave

FemSub

Humiliation

Blackmail

Loves to be ignored

Not sure

Intentions* This field is required.What are you interested in from this interaction?

Short Term

Long Term

Human ATM

Occasional Wallet Drain

Aggressive Sessions

Soft Sessions

Paid Tasks

Free Tasks

Daily Communication

Paid Robot GF treatment

Paid Bullying

Paid Humiliation

RT / Like / Account Ownership

Other (To be discussed)

Tasks* This field is required.Please select tasks you'd like to be assigned.

Daily Tribute ($)

Weekly Tribute ($$)

Monthly Tribute ($$$)

Rent Payer ($$$)

Adopt a Bill ($)

Public Degredation ($)

Blackmail ($$$)

Silent Sending ($)

Ignore Me ($)

Like / RT / Account Ownership (Free)

Personal Wallet ($$$)

Not interested in tasks

Intensity* This field is required.How intense would you like the sessions?

Extra* This field is required.Would you like to be called names/be cursed out?

YESNO

Boundaries* This field is required.Please include all of your boundaries below!

Punishment* This field is required.Any punishment preferences for not following through?

Traffic Light System* This field is required.The traffic light system can be found here: https://www.restrainedgrace.com/blogs/glossary/stop-light-system ! Is this okay for us to use?

YESNO

Safe WordIf the traffic light system does not work for you, what is your safe word?

Relationship Status* This field is required.What is your current relationship status?

Single

Taken, Partner Knows

Taken, Partner Does NOT Know

Polyam + Open

Open

Married + Does Not Want Partner Knowing

Married + Partner Knows

Married + Desires Blackmail

Wallet DrainWould you like me to still be cautious when wallet draining to help protect finances or are you ready to go all out?

Cautious Please

Drain Me

I Am in Debt to You

Consent #1* This field is required.I do not do any type of play that involves personal meet ups, anything in person, or anything morally incorrect. I am also allowed to disagree and not use any kinks I do not personally like/follow/use. If you consent to this, please sign below.

Consent #2* This field is required.You understand that I can go no contact if I wish and terminate our d/s contract under any circumstance. If you consent to this, please sign below.

Consent #3* This field is required.Do you consent and understand that you are acting upon your own free will and this is a consensual financial domination agreement with Goddess Pixi? If you consent to this, please sign below.

Consent #4You understand that any money/finances will be spent/sent using LoyalFans or YouPay. If you consent to this, please sign below.

ExtraIf there is anything else you'd like to add, this is the last stop of this form ♡

Submissive Application