Reservation Form

BOOKING CATALINA ROSE

Private Luxury Model
ABOUT YOU

Reservation forms containing incomplete or false information will be disregarded. The information provided is used solely to ensure my safety; therefore, I do not accept VoIP numbers. Please note that discreet and painless verification is required to schedule an appointment. For confidentiality, our initial contact will take place via email. I use ProtonMail, so please check your spam folder if my message does not appear in your inbox.
Name*

First NameLast Name
Age*
You must be over the age of 21 to schedule an appointment.
Ethnicity*
Email*

Confirmation EmailPlease provide a valid email address which you can be reached at.
Phone Number*

Area CodePhone Number
SCREENING

All information provided will remain strictly confidential. It is securely encrypted and automatically deleted from the system after 7 days.
Discreet business phone callDiscreet business emailLinkedIn: To verify, you’ll need to connect with or send a message to my innocuous account.Valid I.D or Passport
Company Name*
Position/ Title*
Company Website
Link to main website or a page about you.
Company Email
You will need to send an email to my innocuous email account for verification.
Company Phone Number

Area CodePhone Number
Your direct line or extension
Phone etiquette or cover story to use if I call?
If I call, I will be discreet and use a phone number and name that are not associated with my companion persona.
Link to your LinkedIn
To verify that it is your LinkedIn account, you will need to connect with or send a message from your account to my innocuous account.
Optional Additional Information: Company bios or profiles from third-party sources (e.g., SEC filings, Forbes, Bloomberg, Crunchbase, etc.)
Any additional information you can provide about yourself, or references from other companions who can vouch for you, will be greatly appreciated and taken into consideration.
Upload drivers license, student ID, business card, or any other helpful identification documents

Upload Files
Required for those who do not have sufficient employment information. Cancelof
E-Signature: Required only if you are providing your driver's license or other sensitive documents. Please e-sign to confirm that you have agreed to share this sensitive information.

Clear
APPOINTMENT DETAILS

Please outline your appointment preferences below. Due to my professional commitments, I kindly ask that you pre-book 48-72 hours in advance. This will ensure that we can spend time together and allow sufficient time for the screening process. For any questions regarding my policies, please refer to the helpful FAQ on my website.
IMPORTANT NOTES:

I work between the hours of 9 AM and 11 PM. If your booking ends after 11 PM, please add $1000 or reserve an overnight. Same-day appointments, when available, include a $500 rush fee, added to your deposit.

Incalls include a $200 fee, added to your deposit. I waive the incall fee while touring. Outcalls within LA County do not require a time minimum or a travel fee. Clients must cover any parking or valet costs. Some locations outside LA County have time minimums and travel fees. Please see my website for the blog post that lists all locations and their requirements.

I require a 25 percent non-refundable deposit for all bookings, including tours. FMTY bookings require a 50 percent deposit. I apply all deposits to your session.
Date*

MonthDayYear
Date
Time*

:HourMinutesAM/PM Option
Alternate Day & Time if above is not available. (I highly recommend you have at least one alternate day).
Duration*
Incall, Outcall, or FMTY*
Session location*
City, State
Where will I be meeting you? i.e., home, hotel, AirBnb, yacht?*
Desired Session*
TrystSlixaGoogle SearchP411Private DelightsOther
Is there anything else you would like me to know, such as allergies, disabilities, or special requests? This is also your opportunity to make a great first impression by sharing a brief introduction about yourself. Don’t be shy!
By submitting this form, you acknowledge and agree to my Deposit and Cancellation policies. Deposits are non-refundable unless I cancel. If you make a payment electronically—whether for my time or a cancellation fee as outlined in my policy—this document serves as proof that you understand and consent to these terms. The same applies if you pay via credit, debit, or any electronic method and later attempt a chargeback.
By scheduling an appointment with Catalina Rose, you acknowledge the investment required for my time and agree to my No Review Policy.
Pretty please, verify you are not a bot! ;p*
THANK YOU,

I look forward to hopefully meeting you soon!
Should be Empty:

BOOKING CATALINA ROSE

ABOUT YOU

SCREENING

APPOINTMENT DETAILS

THANK YOU,