Session Request Form
Please fill out the form to the best of your ability. I require a 25$ tribute via CashApp ($RSE18) to begin the process of  will put your form at the top of the list and show you are serious about a session!
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First and Last Name (if you are uncomfortable giving this, please list the name you wish me to address you by)
Contact Email *
Contact Phone *
Age *
Gender *
Pronouns *
Where do you live? *
What kind of session would you like? *
Where would you like to have the session? If doing a session in a hotel room, please note that the client in responsible for the cost of the hotel room. *
How long would you like your session to be? Based on my 400$/hr charge. I have a MINIMUM TIME of 90 minute sessions. These prices are for typical sessions. I reserve the right to adjust the prices for unusual requests and scenes. *
What is your experience with BDSM? *
What is your availability like? Please provide 3 exact dates and times. I do not provide same-day or next-day appointments unless a “short notice fee” is paid. I prefer to have at least 1 week notice for sessions. *
Tell me about yourself? This is where you can show off your achievements or talk a little about yourself. Let me get to know you! *
Tell me about your desires and fantasies? What are specific kinks/fetishes you want to explore with me? What turns you on? *
How would you describe your role? *
Required
How would you rate your pain tolerance? *
Little to no pain tolerance
Bring it...
Please list your Soft AND Hard Limits *
Please share any allergies, sensitivites or applicable health issues.  *
If possible, please provide at least one Professional Dominant/ "Service Provider" references. Include their website, social media, email, etc. If you do not have any professional references please put N/A. *
My cancellation policy is as follows: 48 hour cancellation notice must be given for all sessions. There is a 75% session cancellation fee due immediately if you cancel a session within 72 hours of the scheduled time. If you wish to book a session with me again, full tribute is due upfront, and is non-refundable if you cancel last minute again. If you no-show, no-call, you will be required to tribute for the entire session that you missed if you ever desire to reschedule with me. *
How do you plan to provide your deposit? *
For my own curiosity, where did you find me?
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