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check if you Are you 21+

Full Name , Nick name and Fetlife name*

GENDER & PRONOUNS*

E-mail*

Phone Number*

What kind of Session are you wanting

DOM SESSION
EVENT TASTING
TRAINING/CLASSES

Where did you hear about me? If you had a tasting by me please list here.

HOW WOULD YOU DESCRIBE YOURSELF

submissive
fetishist
bottom
servant
masochist
pet
slut
unsure
other

IF OTHER PLEASE DESCRIBE

WHAT IS YOUR PAIN TOLERANCE?*

WHAT ARE YOUR INTENTIONS?*

WHAT ARE YOUR DESIRES?*

WHAT ARE YOUR BOUNDARIES?*

WHAT IS YOUR EXPERIENCE LEVEL?*

DO YOU HAVE ANY HEALTH ISSUES OR INJURIES I NEED TO BE AWARE OF?*

YOU AGREE TO PAY $150 DEPOSIT UPON BOOKING?

WHEN WOULD YOU LIKE YOUR SESSION? (DAYS AND TIMES THAT WORK BEST)*

Anything else I need to know?

Proper hygeine is very important and makes our session more enjoyable. By checking this box, I acknowledge that a full body cleansing must occur before arriving for my session.

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