Apply to Serve

First name

Last name

Age

Phone Number * - I will only reach out to you by phone with permission. Your phone number is required as part of my screening process. Giving a fake phone number is deceitful and will prevent your application from being processed.

Are you looking for an online or in person session?

In person

Online

Requested Appointment Day/Time - 48 hour notice

Month

Day

Year

Time

HoursMinutes

Session Duration: 30 mins/ hour/ 90 mins

Why do you want to serve me?

Favorite Kinks?

What are your soft limits? A soft limit is a boundary that a person may hesitate about or place conditions on, but may still consent to.

What are your hard limits?  Hard limits are absolutes. These are the things that you will not do, under any circumstances  

References from other providers*  Without a reference, a legal name & photo ID will be needed 

Photo of ID

Do you have any medical conditions I need to be aware of?

Permission to record or take photos for my social media?

What else would you like me to know? Be as detailed as possible about what you're seeking in our session