About You
Bookings for couples or groups: Please e-mail me all of the required information (for each person) inquiry@kennedystephens.com
Name:
*
First & Last
Birthday:
*
-
Month
-
Day
Year
E-mail:
*
example@example.com
Phone:
*
xxx-xxx-xxxx
Preferred Contact Method & Best Time to Contact You:
*
Handles/usernames on social media and/or review sites:
*
include name with applicable site! ex. user1234 on sitename.com
Have you had any COVID symptoms/ exposures or symptoms of any other illness in the past 3 weeks?
*
Fever/chills, headache, cough, shortness of breath, fatigue, body aches, sore throat, congestion,nausea, etc...
Appointment Details
Deposits are required for all appointments.
Appointment Type:
*
Outcall
Incall
City, State:
*
Desired Length of Incall:
*
1 Hour - 600
90 Min -800
2 Hours -900
3 Hours -1200
4hr Dinner Date -1500
Other: Dates 6hrs+
DMTY
Desired Length of Outcall:
*
1 Hour - 500
90 Min -700
2 Hours -900
3 Hours -1200
4hr Dinner Date -1500
Other: Dates 6hrs+
DMTY
Incall Deposit Method:
*
Hotels.com Gift Card
Cashapp
Vanilla Visa Gift Card
Bitcoin
Outcall Deposit Method:
*
Amazon Gift Card
Vanilla Visa Gift card
Cashapp
Bitcoin/BTC
Additional Info/ Messages:
Tell me about yourself/break the ice! Special requests? Outfit/lingerie requests?
Verification
Choose Your Verification Option:
*
Photo ID
Employment
P411
Alternative
Photo ID
Photo ID Verification
ID must be valid. Please provide a clear photo of your ID and a selfie of you holding the same ID. Must be able to read the ID in both photos. You may redact all information other than your name, birthday, and photo.
Photo ID by itself:
Browse Files
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of
Selfie holding ID:
Browse Files
Cancel
of
EMPLOYMENT VERIFICATION
Choose One:
*
Work E-mail
Work Badge/ ID
E-mail verification
E-mail Verification
Must be able to send me a blank e-mail from your company e-mail account.
Company Name:
*
Company E-mail:
*
Can't be the same as contact e-mail!
Occupation:
*
ID Verification
Work Badge / ID Verification
Work ID/ Badge:
*
Browse Files
Cancel
of
Company Name:
*
Occupation:
*
P411 Verification
P411:
Client ID:
*
ALTERNATIVE Verification Options
Alternative Options
Choose One:
*
Hotel Bill
Utility Bill (Residential Outcall Only - must match address I will be visiting)
Hotel Bill Verification
Hotel Bill:
MUST SHOW: Your name AND Hotel information including address, city, state, zip and the check in/ check out date.
Photo/screenshot of Hotel Bill:
*
Browse Files
Cancel
of
Utility Bill Verification
Utility Bill:
MUST SHOW: Your name, full address of location I will be visiting, and MUST BE within the past 30 days.
Photo/ screenshot of utility bill:
*
Browse Files
Cancel
of
Cancellation Policy & Additional Messages
Where did you find me?
Tryst
Skip The Games
Adult Search
Twitter
Switter
Eros
Google Search
Other
Subscribe to newsletter? (exclusive promos & travel plans)
*
Yes
No
I understand that a 20% deposit is due at the time of booking in order to hold my appointment date/time. I understand that without a deposit, I have no appointment.
*
I understand
See website**
*
I have read and agree to the cancellation policy.
Submit
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