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Booking Form Instructions

Name & pronouns: Please use the name that you have used with past providers. Please include the pronouns you use in every day life.

Phone: I will not contact you by phone. Submit the number that has been used to arrange past sessions.

Email: I will communicate via email to arrange our time together.

References: I require 1-3 references from the most recent providers you have seen. Please provide their name, website and preferred method of contact upon confirmation that they will provide a reference on your behalf.

-If this is your first time, please indicate so and do as much research as possible beginning with this article. Your photo ID and other verification may be requested. You may also book me for a call or coffee date to answer your questions, ease concerns and discuss safety.

-References from escorts, ProDommes, FBSM providers etc are accepted.

Interests: It is important for you to share at least 3 BDSM activities or interests. "None" or "slave" are not acceptable answers. Please refer to My interests or a list of BDSM activities.

Boundaries: Please list all mental and physical boundaries. If you claim to have none, I choose to not play with you.

Medical Conditions: It is necessary for Me to be aware of any medical conditions, injury or illness that you are experiencing to make your play as safe as possible. Examples: high blood pressure, Sore knee, shoulder numbness, anxiety, fainting, heart conditions, rash, prescriptions etc.

Fines: Failure to complete your booking form in its entirety resulting in the repetition of questions or directions will result in a $50 inconvenience fine to be paid before proceeding with booking inquiry. 



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