Madison Rose
Booking Form
Please share the name you'd like me to refer to you as:
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Type your preferred name
Do you prefer correspondence through: Email, Texting, Whatsapp or CAF Messaging? Please monitor this choice regularly over the next few days.
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Please Select
Email
Text
Whatsapp
CAF Messaging
Email:
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If you don't want to provide email...just enter me@me.com Pro Tip: create a fast and easy Proton Mail
Phone Number:
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If you don't want me reaching out by text use 555-555-5555. Note: you must provide an email OR text number otherwise I won't be able to contact you
Format: (000) 000-0000.
Would you like to be added to my cancellation list for tours?
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Yes
No
Please introduce yourself. The more details the better. This really helps me get to know you.
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I love learning about you.
3. What is your height?
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Please Select
under 5'8
5'8
5'9
5'10
5'11
6'0
6'1
6'2
6'3
6'4
more than 6'4
If you grossly mislead with your answers I have the right to not continue with the service. No refunds will be provided.
4. What is your weight?
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Please Select
Less than 160 lbs
160-169 lbs
170-179 lbs
180 - 189 lbs
190 - 199 lbs
200 - 209 lbs
210 - 219 lbs
220 - 229 lbs
230 - 239 lbs
240 - 249 lbs
250 - 259 lbs
260 - 269 lbs
270 - 279 lbs
280 - 289 lbs
290 - 299 lbs
300 - 310 lbs
311+ lbs
If you grossly mislead with your answers I have the right to not continue with the service. No refunds will be provided.
5. What is your age?
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Please Select
18 - 20
20 - 25
26 - 30
31 - 35
36 - 40
41 - 45
46 - 50
51 - 55
56 - 60
61-65
66-70
71-75
75-80
80+
If you grossly mislead with your answers I have the right to not continue with the service. No refunds will be provided.
3. What is your ethnicity?
*
Please Select
Asian
African American
Caucasian
Chinese
Latino
East Indian
Eastern European
Japanese
Native American
If you grossly mislead with your answers I have the right to not continue with the service. No refunds will be provided.
Are you a tobacco smoker?
Yes I would consider myself a smoker
No, never
Occasionally (please elaborate)
Do you have hearing issues?
Yes
No
Occasionally (please elaborate)
Do you have Erectile Dysfunction? (I ask this question to customize the experience for you).
Yes
No
Sometimes (please elaborate)
Do you have Premature Ejactulation? (I ask this question to customize the experience for you).
Yes
No
Sometimes (please elaborate)
What type of session interests you?
The Experience 1 hr - non FS. INCALL
The Ultimate Experience 1 hr - non FS w/ GFE upgrades. INCALL
FWB Arrangement 2-3 hours - non-FS Let's hang out, things always turn naughty. INCALL
Non-FS Sensual DOM Services 1 hour Power dynamics (ie. I'm the teacher) INCALL
"Tinder Fantasy Date" 2-3 hours - Drinks and then enjoy some private time. OUTCALL
"Dinner and Dessert" 3-4 hrs available - Social meal and then "dessert". OUTCALL
Location?:
Please Select
INCALL My South Calgary Private Condo
OUTCALL Your hotel
FMTY
Where did you discover me?
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CAF Review Board
Google Search
Blue Sky
X (Twitter)
Instagram
Leolist
Tryst
Referral
Other
8. How will you verify?
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EFT $50 deposit
Pic of your drivers license (address hidden)
Reference from another Service Provider
LinkedIn Message
CAF
Other
Please provide your CAF or LinkedIn username if you are using it to be verified.
What date(s) were you hoping for?
Date
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