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