Submissive Application Form
Answer & tick the relevant categories.
Name *
Email *
Phone Number *
Date That You Looking to Serve *
MM
/
DD
Preferred Time of Session *
Length of Session *
How did you find My website?
Medical Conditions (please be specific) *
Age *
Build / Height / Weight *
What you are looking to explore in the session? *
Hard Limits *
Experience *
Marks *
Fetishes *
How would you best describe you desires in relation to me? *
Required
Role Play / Fantasy Scenerio
Trigger Words (words that get you off /names you would like to be called)
Discipline Through Pain
Worship
Anal Play
Bondage
Sensory Deprivation
Sensory Play
Cock and Ball Torture
Submit
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