Submissive Application

NAME* This field is required.

LAST

FIRST

BIRTHDAY* This field is required.MUST BE 18 YEARS OF AGE OR OLDER.

DATE OF BIRTH

Phone Number* This field is required.

COUNTRY CODE

AREA CODE

PHONE NUMBER

EMAIL* This field is required.

EXAMPLE@EXAMPLE.COM

Email Verified

CONFIRM EMAIL

Email Verified

The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification

••••

HOW ARE YOU SEEKING TO SERVE ME?* This field is required.

PRO-DOMMÉ SESSIONS

LIFESTYLE PERSONAL SLAVE

DIGITAL DOMINATION

ALL OF THE ABOVE

LOCATION* This field is required.

CITY OR PROVINCE, STATE, COUNTRY OR POSTAL CODE

SOCIAL MEDIADISCLOSE YOUR TWITTER INSTAGRAM @ AND OTHER SOCIAL MEDIA USERNAMES

WHERE YOU DISCOVERED MISTRESS GODDESS IF ONLINE

MONTHLY DISPOSABLE INCOME* This field is required.MINIMUM $200

ENTER A $USD NUMERICAL VALUE OF YOUR LIQUID NET

HOW WILL I RECEIVE TRIBUTE FROM YOU?* This field is required.ApplePay and Zelle reserved for the trustworthy.

CASHAPP

CRYPTO CURRENCY

GOOGLEPAY

NITEFLIRT

PATREON

URDIVINEGODDESS.COM

CHOOSE YOUR FETISH* This field is required.

BISEXUAL PLAY

BLINDFOLD

BODY WORSHIP

BONDAGE

CAGING

CANING

CBT

CFNM

CHASTITY

CLAWS

CUCKOLDING

DEGRADATION/ HUMILIATION

DOMESTIC DUTIES

EDGING

ELECTRO

ENCASEMENT

EXECUTIVE/ EMPLOYEE

FEATHER

FEEDERISM/ FOOD

FEMINIZATION

FEET WORSHIP

FINANCIAL DOMINATION

FLOGGING

GAGGED

HYPNO

LATEX

LEATHER

LEGGINGS

MASK

MASOCHISM

MILKING

NYLON

PADDLING

PEGGING

PET PLAY

PROSTATE PLAY

QUEENING

ROYALTY ROLE PLAY

RELIGIOUS REPROGRAMMING

SATIN

SENSORY DEPRIVATION

SILK

SMOKING

SMOTHERING

SPANKING

SUSPENSION

TEASE & DENIAL

TICKLING

TOTAL POWER EXCHANGE

TRAMPLING

WRESTLING

ANYTHING GODDESS DESIRES

Other

WHAT IS YOUR EXPERIENCE IN BDSM?* This field is required.

DESCRIBE YOUR EXPERIENCE IF NONE PUT "NO EXPERIENCE"

0/500

SAFE WORD * This field is required.CHOOSE CAREFULLY MY PET, YOU ONLY GET ONE.

ONE SIMPLE WORD

LIST YOUR TRIGGER WORDS* This field is required.

WORDS THAT YOU PREFER NOT BE SAID.

DO YOU CURRENTLY SEE A THERAPIST REGULARLY?* This field is required.FULL DISCLOSURE FOR CONSIDERATION OF MUTUAL SUITABILITY.

YES

DO YOU HAVE ANY KIND OF ADDICTION OR COMPULSIVE BEHAVIOR?* This field is required.FULL DISCLOSURE FOR CONSIDERATION OF MUTUAL SUITABILITY.

YES

WHAT IS YOUR ADDICTION OR COMPULSIVE BEHAVIOR?* This field is required.FULL DISCLOSURE FOR CONSIDERATION OF MUTUAL SUITABILITY.

WEIGHT* This field is required.

SPECIFY LBS OR KG

HEIGHT* This field is required.

SPECIFY INCHES OR CM

REFERENCESIF YOU HAVE EXPERIENCE SERVING

NAME DOMINANT(S) YOU HAVE SERVED.

WHERE WILL YOU BE LOCATED FOR THE SESSION?* This field is required.IF YOU WISH TO BE WHERE MISTRESS IS: PUT HOLLYWOOD, 90028, UNITED STATES

CITY

POSTAL CODE

COUNTRY

DESIRED BOOKING DATE AND TIME* This field is required.

SELECT UP TO 5 KINKS YOU DESIRE FOR OUR SESSION.* This field is required.

BISEXUAL PLAY

BLINDFOLD

BODY WORSHIP

BONDAGE

CAGING

CANING

CBT

CFNM

CHASTITY

CLAWS

CUCKOLDING

DEGRADATION/ HUMILIATION

DOMESTIC DUTIES

EDGING

ELECTRO

ENCASEMENT

EXECUTIVE/ EMPLOYEE

FEATHER

FEEDERISM/ FOOD

FEET WORSHIP

FEMINIZATION

FINANCIAL DOMINATION

FLOGGING

GAG

HYPNO

LATEX

LEATHER

LEGGINGS

MASK

MASOCHISM

MILKING

NYLON

OBEDIENCE TRAINING

PADDLING

PEGGING

PET PLAY

PROSTATE PLAY

QUEENING

ROYALTY ROLE PLAY

SATIN

SENSORY DEPRIVATION

SILK

SMOKING

SMOTHERING

SPANKING

SUSPENSION

TEASE & DENIAL

TICKLING

TRAMPLING

WHIPPING

WRESTLING

ANYTHING MISTRESS DESIRES

DESCRIBE YOUR FANTASY SESSION FOR GODDESS TO CONSIDER.* This field is required.

DESCRIBE YOUR FANTASY SCENE

0/70

WHAT IS YOUR PAIN TOLERANCE?* This field is required.

DO YOU AGREE TO SUBMIT RECENT TEST RESULTS?* This field is required.YOUR ANSWER DETERMINES WHETHER SKIN TO SKIN CONTACT WILL BE AN OPTION TO CONSIDER.

YES

DO YOU CONSENT TO UNDERGO A BACKGROUND CHECK?* This field is required.BACKGROUND CHECK RESULTS ARE CONFIDENTIAL. SESSION BOOKING WILL NOT BE ACCEPTED WITH A VIOLENT BACKGROUND.

YES

UPLOAD IDENTIFICATION FOR VERIFICATION* This field is required.UPLOAD A LEGIBLE PHOTO OF YOURSELF HOLDING YOUR ID ALONG WITH 2 PHOTOS: THE FRONT AND BACK BARCODE OF YOUR LEGALLY ISSUED ID AND OR PASSPORT.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

UNALTERED LEGITIMATE HIGH RESOLUTION PHOTOS

PLEDGE WHY YOU ARE WORTHY OF SERVING A GODDESS.* This field is required.

CHOOSE YOUR WORDS CAREFULLY MY PET

0/111

I AGREE TO* This field is required.REVERE MISTRESS GODDESS

ALWAYS ADDRESS MISTRESS PROPERLY

HONOR GODDESS WITH TRIBUTE

ALWAYS ASK PERMISSION

SPEAK WHEN PERMITTED

ABIDE BY MISTRESS GODDESS LAWS

I, First Name * Last Name * AGREE TO KEEP ALL INFORMATION ABOUT AND INTERACTIONS WITH THE WOMAN KNOWN AS MISTRESS GODDESS CONFIDENTIAL, UNLESS EXPRESSLY PERMITTED IN WRITING, BY PENALTY OF LAW.

SIGNATURE* This field is required.UPON SIGNATURE YOU CONFIRM THE IDENTITY INFORMATION BEING SUBMITTED IS VALID. IT IS UNDERSTOOD THAT YOU ARE OF SOUND MIND AND BODY TO BE IN AGREEMENT WITH THE WOMAN KNOWN AS MISTRESS GODDESS.

Clear

Submissive Application