Submissive Application Form

Answer & tick the relevant categories.

Name *

Email *

Phone Number *

Date That You Looking to Serve *

Preferred Time of Session *

Morning (9:00 am - 12:00 pm)

Afternoon (1:00 pm - 4:00 pm)

Evening (5:00 pm - 8:00 pm)

Night (8:00 pm - 11:00 pm)

Length of Session *

1 Hour

2 hours

3 hours

4+ hours

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 *

Submiting all my life

Dabble on Occasion

Complete Newbie

Marks *

Never

Temporary

I want a permanent symbol from You

Fetishes *

How would you best describe you desires in relation to me? *

I want to serve you, and do whatever you tell me to within my limits.

I only want to partake in a set of fetish activities that turn me on.

I want to be put in my place and humiliated.

I want to experience an emotional connection akin to a Female Lead Relationship

I want to be taught to be a good little submissive.

Required

Role Play / Fantasy Scenerio

Trigger Words (words that get you off /names you would like to be called)

Discipline Through Pain

OTK Spanking

Caning

Flogging

Paddles

Kicking

Face Slapping

Nipple Torture

Dragging my Deliciously Sharp Nails Across your Skin

Punching

Worship

Legs

Pits

Feet

Boots

Nylon/Shoe

Face Sitting/ Bum worship

Anal Play

Pegging

Butt plugs

Prostate Massage

Fisting

Bondage

Rope

Retraints

Genital Bondage

Cage

Full Body Bondage

Sensory Deprivation

Blind fold

Gag

Saran Wrap

Sensory Play

Tickling

Ice

Wax Play

Nipple Clamps

Wartenburg Wheel

Feathers and Fur

Deep Heat (or other similar products)

Abrasion

Genital Clamps

Estim

Violet Wand

Needles

Cock and Ball Torture

Sounding

Ball Slapping

Ball Crusher

Cock and Ball Bondage

Stretching

Ball Busting

Weights

Chastity Device

Tease and Denial

Ruined Orgasm

Submit

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