First/Last Name
SubName
Street Address
Street Address Line 2
City
State
Postal / Zip Code
Safeword
Way to contact (phone number/email/whatsapp/telegram)
Currently Partned?
Yes, partner knows.
Yes, partner doesn't know
No
Have you paid the $25 Initial Tribute to move forward in being a part of my dynamic?
*
Yes
No
Gender?
Female
Male
Non-binary
MtF
FtM
Not listed
Kink Interest
Ass Worship
Queening (Face Sitting)
Humiliation (Public)
Humiliation (Private)
Bondage
Wax Play
Pegging
Impact Play
FinSub- online
Abandonment
Hair Pulling
Cock/Ball Torture
Sensory Deprivation
Tickling
Feminization
Foot Worship
Smothering
FinSub- in person
Servicing (human furniture)
Servicing Slave (task/errands)
Watersports
Abdl
Little/middle/big
Scat
Fart Fetish
ANR
'Extreme' Impact Play(no blood)
Menstrual Worship
Pain Tolerance
Low
1
2
3
4
5
6
7
8
9
High
10
1 is Low, 10 is High
What is your Submissive Style?
Nurturing
Bratty
Humiliation
Sensual
Need to be broken
Masochist
Servicing
Painslut
Alpha Sub
Exploring kink
What are your hard limits?
List your experience as a sub/slave and any previous Doms you've served
*
Physical limitations?
Yes
No
Do you consent to Pictures and Videos?
Yes
Yes, with my identity concealed
No
Do you realize without payment of $25 initial tribute, we will NOT be moving forward
*
Yes
How was payment sent
CashApp- $MsChrystalRuchard
Venmo- @MsChrystalRuchard
Paypal- @MsChrystalRuchard
GooglePay Requested
Not Moving Foward
Name Payment was sent under:
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