ABDL Mommy Katelyn

Request Time With ABDL Mommy Katelyn

Response Time Is Within 24 Hours
Name

First Name Last Name
Email
example@example.com
Phone Number

Area Code Phone Number
Profession
Age (Must be over 25)
Date You Would An Appointment?

Month Day Year
Date Date Picker Icon
Requested Appointment Time

: Hour Minutes AM/PM Option
Length Of Session Desired

2 HOURS 3 PLUS HOURS 8 HOURS OVERNIGHT 24 HOURS WEEKEND FULL WEEK
Special Requests? Fetishes?
How often Do You Masturbate?

Rarely 1x A Week 3x Or More A Week 1x A Day Multiple x a day Prefer Not To Share
Any Issues With:

Getting Hard Staying Hard "Going" Too Fast Not Being Able To "Finish" Prefer Not To Share
Do You Have Any References?

YES NO
Time Window Preferred For Initial Contact For Screening

10am - 11am 11am - Noon Noon - 1pm 1pm - 2pm 2pm - 3pm 3pm - 4pm 4pm - 5pm 5pm - 6pm
Website Where You Originally Found Us?
The City In Which You Reside?
The City In Which You Would like To See Us?
Gender

Female Male Trans
How Do You Identify? Check All That Apply.

Sissy Baby Naughty Boy Diaper Lover Sissy Age Player Adult Baby Fetishist All Of The Above None of The Above
Your Desired Demeanor Of Mommy While in Session?

Disciplinarian / Strict Soft Spoken / Caring / Affectionate
Where Did You Find Us?
Activities & Games You Are Interested In At The Nursery?
Mommy's Role While In Session?

Mommy Nanny Babysitter Nurse Teacher Boss Neighbor Disciplinarian Mistress Hypnotist Other
Do You Enjoy Being Humiliated

Yes No Not Sure
Favorite Diaper Brand And/Or Print?
Any Allergies?
Do you have an ACTUAL Medical issue that causes you to have incontinence?
Are You Interested In Public Outings?

Yes No Maybe
Height, Weight, Shoe Size?
Dietary Restrictions?
Any Disabilities?
Punishments You Are Interested In?

Corner Time Sent To Your Room OTK Spanking Paddling Withholding Meals Switch Forced Nap Time Ear Pulling Wooden Spoon Leg Smacking Spoon Flicking Scolding Humiliation Face Slapping Spitting In Face Bondage / Restraint Time Out Forced Exercise Forced Feminization NONE
Your Age When We Play

Elementary School Middle School High School No Age Play - Diaper Lover
We are not offering any illegal acts, We are not prostitutes, and We will not tolerate such tomfoolery in our Nursery. If you ask us for offensive inappropriate things while here with Mommy, you will forfiet your session fee and be swiftly kicked out of the nursery on your dirty behind. By sending this request form to me, you are agreeing with this statement.
Should be Empty:

Request Time With ABDL Mommy Katelyn