Full Name
*
Email
*
Full Date of Birth (MM/DD/YEAR)
*
Brief respectful introduction of yourself, how many years of experience with BDSM, and how long you've known you're a submissive
*
Kinks/Fetishes you like and/or want to explore along with any SPECIFIC SCENE/IDEAL SESSION request. Be open and honest and share valuable information as it is needed for deciding if you will be accepted and help plan out O/our session.
*
How did you find Me?
*
What is it about Me that made you choose to apply? Why do you wish to serve Me?
*
If you found or was given a Business Card, did it have anything written on it?
*
List Soft Limits
*
List Hard Limits
*
Health Concerns? (including specific phrases, activities, places I should not touch etc. Medical concerns including major surgeries, allergies, joint replacements or concerns, medical PTSD, heart issues, nervous system issues, blood ailments, head trauma, brain illnesses, medications, claustrophobic. you get the idea)
*
Do you have any trauma triggers I need to be aware of?
*
Do you have any communicable diseases? (Everything is confidential, privacy is important to Me. This will help Me plan a safe experience for U/us. If found to not be fully honest in disclosure you will be blacklisted by Me and Others)
*
How do you identify, Submissive, Slave, Pet, Sissy Slut, Pain Slut, Unsure, Other
*
What characteristics does your ideal Domme have? Is she strict? sadistic? seductive? caring?
*
Date(s) of interest? (No guarantee. Consider review time and initial phone screening (if required) that needs to take place if accepted.)
*
Do you have specific phrases or words that excite you? (e.g. ownership language)
*
Describe your pain tolerance.
*
Can you take light bodily marks from spanking, flogging, cropping, hand etc? (Minor-welts/redness that fade shortly after)
*
Can you take bodily marks from impact play such as caning, knife play, branding etc.? (Longer lasting marks, bruising, broken skin, cutting etc.)
*
Any limitations for Me contacting you either by calling, texting or emailing prior to/after the session?
*
How do you want to feel during your session?
*
How do you want to feel after your session?
*
References (Domme name you've served previously, names and website link)
*
your Location/City
*
If you are human, leave this field blank.