• Screening & Booking Form

  • This is my easy and secure booking form. Please fill out at least ONE FORM of screening. (Verification website, or 2 reputable provider references that you have seen within the past 6 months) As well as your basic information and your appointment request information.

    The more information that you provide me with, the sooner we will get together. Please note: It takes time to process your request, as soon as you are CONFIRMED VERIFIED, you will be notified.

  • 1.Verification Membership Websites

    If you are using a verfication website as your primary form of screening, please let me know which website and your information. RS2K is the fastest response. P411 can take longer, at times, depending on your situation. Likewise with DateCheck.

  • 2. References

    If you are using references as your primary form of screening, please provide as much of the information as you possibly can. I only accept references from reputable providers, that have reviews AND a website. I do not take references from backpage girls. I require TWO references, not just one.

  • Social Media:

    I do not use social media as screening NOR do I contact you on your social media. I ask for your information to help confirm your identity.

  • Appointment Request Information - please fill this out completely.

  • If NO: If you don't give me 24 hr (or more) notice that you need to cancell, a cancellation fee must be paid before I can reschedule with you.

  • Upload a File
    Cancelof
  • Upload a File
    Cancelof
  • Upload a File
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  • Should be Empty: