PA In-Person Form

1
Name* This field is required.No nicknames or aliases (will verify). Your information is 100% confidential. This is to ensure my safety.
First Name
Last Name
2
Email* This field is required.This will be our primary means of communication. Priestess expects timely replies to her emails.
example@example.com
Confirm Email
3
Phone Number* This field is required.No fakes or burners (will verify). My assistant and I will NEVER call or text you without your consent.
Please enter a valid phone number.
4
Age* This field is required.
5
What is your gender?* This field is required.
Male
Female
Non-binary or Genderqueer
Couple
Other
6
What city do you hope to serve Me in?* This field is required.
Oakland
San Francisco
San Diego (I only visit occasionally.)
Denver (I only visit occasionally.)
Nashville (I only visit occasionally.)
Austin (I only visit occasionally.)
Fly me to you (All expenses paid.)
7
How do you identify?* This field is required.Select all that apply.
submissive
sissy, CD, or gender player
devotee, worshiper, or servant
roleplay lover
fetishist
finsub or benefactor
masochist or pain slut
kink curious or newbie
pet
kinky couple
Other
8
What is it about Me in particular that has inspired you to reach out? * This field is required.
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Large
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Ok
9
What activities do you hope to experience with Me?* This field is required.What have you enjoyed in the past? Are there new things you wish to explore? How much experience have you had with Pro Dommes? Do you have a specific goal, fetish, or role play in mind? Is there a particular specialty of mine you are curious about? Are you interested in a long-term D/s relationship or only session-based play?
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10
What specific feelings do you hope to experience during our time together?* This field is required.For example: humiliated, guided, controlled, inferior, scared, cherished, useful, useless, encouraged, devoted, denied, playful, tolerated, objectified, etc.
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Large
Normal
Small
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Ok
11
What type and length of in-person session would you like to request?
The Online Initiation 30 min - $100
Sensual Kink Experience 2hr - $700
Priestess Worship Ritual 2hr - $850
Domestic Servitude Training 2hr - $800
Domestic Servitude Training 3hr - $1000
Spiritual Feminization Ritual 2hr - $800
Spiritual Feminization Ritual 3hr - $1000
Domination Duo with another woman - price varies
Domination Duo with another man - price varies
Please choose for me, Priestess
I'd like a $50 consultation call to help figure out the best option for me.
3hr+ extended session - special rate
12
What payment method will you be using for your deposit?* This field is required.Listed in order of My preference. Deposits are typically 50%, but may vary depending on session length and location. They are non-refundable unless you cancel with over 48hrs notice, reschedule and beg for my forgiveness. The remainder is expected in cash, unless you prefer to pay in full in advance.
CashApp
Venmo
SpankPay (Debit or Crypto + 4% fee)
Credit card (+ 4% fee)
Amazon gift card
13
What screening method do you prefer?* This field is required.
I will include contact information of at least 2 references.
I will provide my LinkedIn profile & work website or other online presence.
I will provide a photo of my ID next to my face & complete a $50 paid phone consultation.
14
Practitioner References* This field is required.You must fill in at least 2 of the following to qualify. If you have a 3rd, please include them, as not all references can give timely replies. Failure to submit screening info correctly will result in no reply from Me.
Reference #1 Link to website or ad of a Pro Domme, escort, tantra or sensual massage practitioner you have seen.
Reference #2 Link to website or ad of a Pro Domme, escort, tantra or sensual massage practitioner you have seen..
OPTIONAL: Reference #3 (If you don't have a third, just type: N/A or include your own online presence.)
15
Submit a selfie with your ID.* This field is required.Because you don't have references or a professional presence online, this is the best way for me to feel safe with you. You will also need to schedule a $50 consultation call to ensure we are a good match.
16
Professional Online Presence Verification* This field is required.Failure to submit screening info correctly will result in no reply from Me.
Link to your LinkedIn profile with photo and 50+ connections.
Business website, articles written about you, and/or social media with 500+ followers.
17
How did you find Priestess?* This field is required.Help Priestess learn where her best subs find her!
Eros
Google Search
Dickie Virgin
Sacred Eros
Slixa
Twitter
Instagram
Tryst
Private Delights
Niteflirt
SextPanther
Domme's Nation
Sin Search
Pandemos
Mistress Elite
Verified Mistresses
FemDom Search
Mistress Guide
Fetish X
P411
Fetlife
Other
18
Conditions, Limits & Boundaries* This field is required.Participating in sessions involving BDSM activities can put stress on the body and mind. Please disclose any and all physical and mental health issues, medical conditions and mobility limitations, including past physical or emotional abuse, so that I may determine what activities should be modified or avoided. I DO NOT session with people who claim to not have any boundaries. Hard limits and boundaries include specific activities, pet names and phrases you are currently NOT open to, places I should not touch, emotions or sensations you DO NOT want to experience in our session. It is your responsibility to disclose any of the above or anything else that may not be listed.
Hard Limits & Boundaries
Current Medications (If none, type N/A.)
Health Issues/Medical Conditions/Mobility Limitations/History of Abuse or Trauma
19
When would you like to see Me? Provide 2-3 ideal dates and times. * This field is required.I AM NOT AVAILABLE FOR SAME-DAY SESSIONS. A minimum of 1 week prior notice is required. More notice pleases your Priestess very much. I am incredibly selective about whom I see, priority is given to those who book duos or an introductory phone session, or who are interested in or experienced with long-term arrangements.
20
By Submitting this form, I agree to the following:

I am requesting and at my own risk participating in a BDSM session. I understand activities within the Session will be conducted by mutual consent. I accept sole responsibility to; (a) decide what activities I wish to participate in during the Session and decide what my boundaries are. (b) communicate these decisions clearly before the start of the Session. (c) agree to an appropriate safe word or other signal to request an activity stop. (d) signal immediately, any unexpected fatigue, shortness of breath, chest discomfort, nausea, pain or discomfort. I understand I can discontinue participation at any time during the Session, without prejudice against me, beyond fees or tribute for the Session.

That any activities undertaken during the Session are voluntary and are at my own risk. I agree to indemnify and hold harmless all participants in the Session from all claims of liability, injury, death, property loss or damage, attorney’s fees and costs and I agree to reimburse them for any such claims; of same, they may have.

I have disclosed all relevant information about my medical conditions and history and am of the sound mental and emotional health required to safely explore kink.

I understand dominations sessions do not include sexual intercourse or illegal activity.

I have read and agree to your late, deposit and cancellation policies.

I have read your hard limits list and will not request those activities.

I am a consenting adult over the age of 18 and I am not a law enforcement officer or federal law enforcement agent.
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